Conclusion
ASA has been shown to be a safe and reliable procedure; advanced imaging techniques and dedicated multi-disciplinary teams can be used to carefully select patients with HOCM. Especially those who are at an advanced age or have multiple co-morbidities may experience beneficial results from ASA and in experienced high-volume centres are likely to have greater outcomes. Though surgical myectomy is recommended as gold standard treatment for drug refractory HOCM, ASA may play an increasing role in the near future due an ageing population; both ASA and SM can have a synergistic effect in treating those who are affected by HOCM.
Acknowledgment: None
Funding: None obtained
Ethical approval: not required