Hi! Jake G. here. A diagnosis of HOCM was confirmed in May of this year and I had an ICD implanted on July 20, 2022 so this is all still very new to me. I've had varying degrees of success with cardiologists but have finally found an HCM specialist at University of Texas Health and Science Center San Antonio. I'm in the process of switching cardiologists to the specialist. As near as I can understand it, the decision to insert an ICD was due to an apical aneurysm in my left ventricle and some ventricular tachycardia which apparently put me at higher risk of SCD. Other than chest pain and some occasional bouts with shortness of breath, my symptoms are thankfully mild. From what I've read here and another forum, some people have a myriad of symptoms and I can't imagine how stressful that is for those folks, both mentally and physically.

I'm sure I will have a lot of questions along the way, but I'll start with just one: I read a lot of people that have an ICD and then some time later have a septal myectomy. Enough so that I wonder if a septal myectomy is an eventuality with everyone with HOCM. I guess it makes sense given that there's no way to reverse HOCM but am I correct in assuming that a septal myectomy is likely in my future? Thank you in advance for your response(s).

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