Which people are candidates for mechanical therapy for hocm?

Symptomatic: Mechanical therapy for hocm depends on the severity of the disease and symtpoms. Assymptomatic people with low gradients and no history or risk factors for dysrhythmias may only need observation and/or medical therapy. Obstructive disease may require alcohol septal ablative therapy, or surgery. A family history of sudden death or dysrhythmias may require pacing/defibrillator therapy.

Symptoms: Severe obtruction and symptoms are needed before one considers treatment for hocm.