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                                <h1>PTSMA (ALCOHOL SEPTAL ABLATION FOR HOCM)</h1>
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                                <p>Alcohol septal ablation (ASA, TASH, PTSMA) is a minimally invasive, percutaneous treatment procedure performed by interventional cardiologists to treat patients with hypertrophic cardiomyopathy (HOCM). Patients must go through a selection process that evaluates them on strict clinical, anatomical and physiological criteria before the physician recommends the procedure. It allows a majority of symptomatic patients to avoid open heart surgery.</p>
                                <p>HOCM is a condition where the heart muscle grows abnormally thick without any physiological causes like hypertension or aortic valve disease. This thickening of the heart muscle is usually noticed in a particular part of the interventricular septum in a large number of patients suffering from HOCM that causes an obstruction in the flow of blood from the left ventricle.</p>
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                                    <li>Alcohol Septal Ablation (also known as PTSMA) reduces this obstruction, allowing improved blood flow from the heart.</li>
                                    <li>The cardiologist performing the procedure creates a small, controlled heart attack by pushing a small amount of pure alcohol through the catheter into the artery to destroy the excess septal tissue, thereby reducing the thickness and allowing flow of blood to resume.</li>
                                    <li>Patients might experience some mild discomfort or chest pain at this point in the procedure.</li>
                                    <li>Unlike other minimally invasive procedures, patients who undergo PTSMA procedure have to stay in the hospital for several days for constant monitoring.</li>
                                    <li>Activity is restricted for a few months to allow complete recovery.</li>
                                    <li>Patients also need to return for follow-up visits regularly in order to evaluate healing and resumption of full heart function.</li>
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