TY - JOUR

T1 - Management of patients with an electrical storm or clustered ventricular arrhythmias

T2 - a clinical consensus statement of the European Heart Rhythm Association of the ESC-endorsed by the Asia-Pacific Heart Rhythm Society, Heart Rhythm Society, and Latin-American Heart Rhythm Society

AU - Lenarczyk, Radosław

AU - Zeppenfeld, Katja

AU - Tfelt-Hansen, Jacob

AU - Heinzel, Frank R

AU - Deneke, Thomas

AU - Ene, Elena

AU - Meyer, Christian

AU - Wilde, Arthur

AU - Arbelo, Elena

AU - Jędrzejczyk-Patej, Ewa

AU - Sabbag, Avi

AU - Stühlinger, Markus

AU - di Biase, Luigi

AU - Vaseghi, Marmar

AU - Ziv, Ohad

AU - Bautista-Vargas, William-Fernando

AU - Kumar, Saurabh

AU - Namboodiri, Narayanan

AU - Henz, Benhur Davi

AU - Montero-Cabezas, Jose

AU - Dagres, Nikolaos

AU - Peichl, Petr

AU - Frontera, Antonio

AU - Tzeis, Stylianos

AU - Merino, Jose Luis

AU - Soejima, Kyoko

AU - de Chillou, Christian

AU - Tung, Roderick

AU - Eckardt, Lars

AU - Maury, Philippe

AU - Hlivak, Peter

AU - Tereshchenko, Larisa G

AU - Kojodjojo, Pipin

AU - Atié, Jacob

N1 - © The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.

PY - 2024

Y1 - 2024

N2 - Electrical storm (ES) is a state of electrical instability, manifesting as recurrent ventricular arrhythmias (VAs) over a short period of time (three or more episodes of sustained VA within 24 h, separated by at least 5 min, requiring termination by an intervention). The clinical presentation can vary, but ES is usually a cardiac emergency. Electrical storm mainly affects patients with structural or primary electrical heart disease, often with an implantable cardioverter-defibrillator (ICD). Management of ES requires a multi-faceted approach and the involvement of multi-disciplinary teams, but despite advanced treatment and often invasive procedures, it is associated with high morbidity and mortality. With an ageing population, longer survival of heart failure patients, and an increasing number of patients with ICD, the incidence of ES is expected to increase. This European Heart Rhythm Association clinical consensus statement focuses on pathophysiology, clinical presentation, diagnostic evaluation, and acute and long-term management of patients presenting with ES or clustered VA.

AB - Electrical storm (ES) is a state of electrical instability, manifesting as recurrent ventricular arrhythmias (VAs) over a short period of time (three or more episodes of sustained VA within 24 h, separated by at least 5 min, requiring termination by an intervention). The clinical presentation can vary, but ES is usually a cardiac emergency. Electrical storm mainly affects patients with structural or primary electrical heart disease, often with an implantable cardioverter-defibrillator (ICD). Management of ES requires a multi-faceted approach and the involvement of multi-disciplinary teams, but despite advanced treatment and often invasive procedures, it is associated with high morbidity and mortality. With an ageing population, longer survival of heart failure patients, and an increasing number of patients with ICD, the incidence of ES is expected to increase. This European Heart Rhythm Association clinical consensus statement focuses on pathophysiology, clinical presentation, diagnostic evaluation, and acute and long-term management of patients presenting with ES or clustered VA.

KW - Humans

KW - Risk Factors

KW - Arrhythmias, Cardiac/diagnosis

KW - Incidence

KW - Heart Failure/complications

KW - Asia/epidemiology

KW - Defibrillators, Implantable

KW - Tachycardia, Ventricular/diagnosis

U2 - 10.1093/europace/euae049

DO - 10.1093/europace/euae049

M3 - Journal article

C2 - 38584423

VL - 26

JO - Europace

JF - Europace

SN - 1099-5129

IS - 4

M1 - euae049

ER -