Arrhythmias & electrophysiology

A randomized clinical trial of catheter ablation and antiarrhythmic drug therapy for suppression of ventricular tachycardia in ischemic cardiomyopathy: The VANISH2 trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with prior MI (ischemic cardiomyopathy) and ventricular tachycardia (VT) despite ICDs
Planned comparison
Catheter ablation vs antiarrhythmic drug therapy as first-line therapy
Primary endpoint
Composite of:
  • Mortality at any time
  • Appropriate ICD shock
  • VT storm
  • Treated sustained VT below ICD detection (each after 14 days)
Follow-up
Until 2 years after randomization
Methodological detailsdesign and rationale, stratified randomisation by drug-eligibility group, intention-to-treat analysis, Drug therapy, ablation procedures and ICD programming standardized
  • Design and rationale
  • Stratified randomisation by drug-eligibility group
  • Intention-to-treat analysis
  • Drug therapy, ablation procedures and ICD programming standardized

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

A randomized clinical trial of catheter ablation and antiarrhythmic drug therapy for suppression of ventricular tachycardia in ischemic cardiomyopathy: The VANISH2 trial. Am Heart J. Published 21 April 2024. doi:10.1016/j.ahj.2024.04.009

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