LVOT gradient >50 mmHg at rest or
provocation |
Septal thickness 15-30mm at the site of obstruction |
SAM on the mitral valve |
Favourable coronary anatomy |
Recurrent exertional syncope |
Advanced age |
Absence of pathology that requires surgical correction |
Symptoms despite maximal drug therapy |
Patients aversion to surgery |
High surgical risk due to co-morbidities |