Heart failure & cardiomyopathies
Long-Term Outcomes of Electrical Storm Patients Listed for Urgent Heart Transplantation but not Transplanted Acutely
Authors' conclusion
Refractory ES is a critical condition with high short- and long-term mortality. While HTx serves as a rescue strategy, rhythm management can sometimes overcome the critical phase, facilitating subsequent HTx under more favourable conditions or even allowing removal from the HTx waiting list.
Study context
- Population
- Patients registered on urgent HTx waiting list for refractory electrical storm (ES) without being transplanted during initial hospitalizationpatients included
- Participants
- 40 patients
- Outcome
- 1-year all-cause mortality
- Follow-up
- 1 year
Methodological detailsfive French centres, 2010 to 2022
- Five French centres
- 2010 to 2022
Main finding
As reported in the abstract
Patients who died
20 patients
50.0%
In-hospital deaths
14 in-hospital deaths
35.0%
Observational data: associations, not effects.
Further findings
Baseline characteristics
- Men
- 90%
- Age, years
- 56.5 (50.0-61.3)
- Dilated cardiomyopathy
- 63.6%
- Ischaemic cardiomyopathy
- 24.2%
Management
- Amiodarone
- 84.6%
- Beta-blockers
- 64.1%
- Deep sedation
- 50.0%
- Mechanical circulatory support
- 35.0%
- Stellate ganglion block
- 10.0%
- Catheter ablation
- 57.5%
Post-discharge deaths · 1 year
- Patients who died post-discharge
- six
- Of the six who died post-discharge, previously underwent HTx
- four
- Of the six who died post-discharge, received VAD implantation
- one
Status of survivors · 1 year
- Still alive at 1 year
- Twenty patients (50.0%)
- Of the survivors, underwent HTx
- 10
- Of the survivors, VAD implantation followed by subsequent HTx
- 1
- Of the survivors, VAD as destination therapy
- another
- Removed from HTx waiting list due to functional improvement
- five (12.5%)
- Median LVEF of those removed from the list
- 45.0% (20.0%-45.0%)
- Still registered on HTx waiting list
- three patients (7.5%)
Original publication
Long-Term Outcomes of Electrical Storm Patients Listed for Urgent Heart Transplantation but not Transplanted Acutely. ESC Heart Fail. Published 27 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →