A member asked:

I have hocm doctors suggest a icd but is there a way to avoid it my echo gradient is 35 to 40% at present i am on selokene 50 twice daily and rosuvus?

3 doctors weighed in across 2 answers

HOCM: If there's a family incidence of sudden death or if your heart is very thick we generally recommend an icd. Likewise if theres a history of syncope or serious arrhythmia. Discuss the reasons for the recommendation with your doctor who knows you and your situation.

Answered 4/3/2013

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May be: There are specific criteria for needing a icd for hocm. If you have a fairly thick hypertrophied heart muscle, history of rhythm problems or a family history. Not everybody needs one if your gradient is not that high. You can easily get the guidelines from the acc/ aha website of cardiospurce and discuss with your doctor and ask him why you are at a higher risk of arrhythmias.

Answered 4/4/2013

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