Mr. Prem, (name changed) 35 year old
“Prem now lives knowing he had a brush with sudden death”.
Had recently developed breathlessness on exertion. He initially attributed it to being ‘unfit’ due to his sedentary office job. On Echocardiography, he was detected to have an obstructive HCM. On further assessment, he was found to be an ideal candidate for alcohol ablation. The procedure reduced the thickness of the heart muscle and relieved him of the breathlessness. He underwent an evaluation to decide whether he was at high risk of SCD and hence would benefit from an implantable pacemaker. It was determined that an AICD was not needed at this stage. He is under regular monitoring by the doctors. “HCM cannot be cured or reverted to normal, but we can certainly control the symptoms and constantly evaluate the need to intervene,” says Dr Padmakumar .