Arrhythmias & electrophysiology
Impact of ventricular tachycardia ablation in the setting of electrical storm based on patient risk profile
Authors' conclusion
In patients with electrical storm, VT ablation was associated with lower 1-year mortality across both low- and high-risk profiles.
Study context
- Population
- Patients admitted for electrical storm, four French centres
- Participants
- 606 patients
- Exposure
- Catheter ablation vs no catheter ablation, stratified by PAINESD and iVT risk
- Outcome
- Mortality
- Follow-up
- 1 year
Methodological detailsmulticentre, inverse probability of treatment weighting (IPTW)-adjusted
- Multicentre
- IPTW-adjusted
Main finding
As reported in the abstract
1-year mortality by risk group
CA vs No CAAdjusted hazard ratio (95% CI)P value
hi-PAINESD
0.42(0.26–0.66)
P = 0.0002hi-iVT
0.31(0.18–0.53)
P < 0.0001Observational data: associations, not effects.
Further findings
Exploratory interaction analyses
- iVT score, but not PAINESD, identified high-risk patients who may derive earlier survival benefit from ventricular tachycardia (VT) ablation
Original publication
Impact of ventricular tachycardia ablation in the setting of electrical storm based on patient risk profile. Europace. Published 20 August 2025. doi:10. 1093/ europace/ euaf188
Composed by AI from the published abstract and checked against it. How Briefs are made →