Who is a good candidate for this procedure?

Ideal candidates are patients with severe symptomatic hypertrophic obstructive cardiomyopathy (HOCM) who have a left ventricular outflow tract gradient ≥50 mmHg at rest or with provocation, despite optimal medical therapy. Contraindications include mild or asymptomatic HOCM, significant comorbidities that increase surgical risk (e.g., severe lung disease, advanced age with frailty), or patients who prefer alcohol septal ablation as a less invasive alternative.