@jekcordle ,
Good morning @jekcordle , Just a short message to say I don't think you can go wrong with either Mayo or Iowa City. I see a cardiologist and have also seen an EP at Mayo, Rochester and my daughter has a care team at Iowa that she thinks is excellent. We both have Apical HCM with apical pouch at the apex. This qualifies for an ICD. Because of my age (I was diagnosed at 78, am now 81) the risks of inserting an ICD can be greater than the benefit. Therefore, I decided not to do so. Because of my daughter's age, she definitely needed to have the ICD and is certainly pleased with her care team at Iowa. Good luck with whatever choice you make.