Acute cardiac care & resuscitation
Heart transplantation as a rescue strategy for patients with refractory electrical storm
Authors' conclusion
Electrical storm is a rare indication of HT but may be lifesaving in those patients presenting intractable arrhythmias despite usual care. Most patients can be safely discharged from hospital, although post-operative mortality remains substantial in this context of emergency transplantation.
Study context
- Population
- Patients transplanted for severe refractory electrical storm, 2010 to 2021
- Participants
- 45 patients
- Outcome
- In-hospital mortality
Methodological detailsmulticentre, 11 French centres, Retrospective inclusion, 2010 to 2021
- Multicentre
- 11 French centres
- Retrospective inclusion, 2010 to 2021
Main finding
As reported in the abstract
In-hospital mortality rate
28.9%
Observational data: associations, not effects.
Further findings
One-year survival
- One-year survival
- 68.9%
Immediate haemodynamic support by extracorporeal membrane oxygenation (ECMO) after transplantation
- Patients needing immediate ECMO after heart transplantation (HT)
- 20 (44.4%)
Time from electrical storm (ES) onset to wait-list inscription and to transplantation
Days
- Wait-list inscription after ES onset
- 3.0 (1.0-5.0)
- Transplantation after ES onset
- 9.0 (4.0-14.0)
Original publication
Heart transplantation as a rescue strategy for patients with refractory electrical storm. Eur Heart J Acute Cardiovasc Care. Published 15 June 2023. doi:10.
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