Arrhythmias & electrophysiology

Impact of ventricular tachycardia ablation in the setting of electrical storm based on patient risk profile

EuropacePublished Retrospective cohort study

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 = 0.0002
hi-iVT
0.31(0.18–0.53)
P < 0.0001

Observational 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 →

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