Evidence map›Paper›PMID 38584423›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2024

Management of patients with an electrical storm or clustered ventricular arrhythmias: 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.

Radosław Lenarczyk, Katja Zeppenfeld, Jacob Tfelt-Hansen, Frank R Heinzel, Thomas Deneke, Elena Ene, Christian Meyer, Arthur Wilde, Elena Arbelo, Ewa Jędrzejczyk-Patej and 24 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
25.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Incidence and predictors of major arrhythmic events after myocarditis: a systematic review and meta-analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Pooled it
  2. Catheter ablation vs. anti-arrhythmic drug therapy for ventricular tachycardia in ischaemic heart disease: a meta-analysis of randomized controlled trials.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Pooled it
  3. Pooled it
  4. Early substrate-based catheter ablation vs. antiarrhythmic drug therapy for ventricular tachyarrhythmias among patients with prior myocardial infarction: the MANTRA-VT randomized trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Trial
  5. Percutaneous left stellate ganglion block for drug-refractory supraventricular arrhythmias in patients with advanced heart failure and cardiogenic shock: a pilot study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  6. Essential antiarrhythmic drug accessibility worldwide: a multi-survey study and comprehensive evaluation of access and supply challenges.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
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  13. Real-world characteristics and management of ventricular tachycardias in ICD patients: Data from the VIDEO registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. A practical 5-stage clinical scale for electrical storm: the STORM classification.European heart journal. Acute cardiovascular care · 2026
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 19 countries.

Radosław LenarczykMedical University of Silesia, Division of Medical Sciences, Department of Cardiology and Electrotherapy, Silesian Center for Heart Diseases, Skłodowskiej-Curie 9, 41-800 Zabrze, Poland.ORCID 0000-0002-4680-6734
Katja ZeppenfeldDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-6645-082X
Jacob Tfelt-HansenThe Department of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-3895-9316
Frank R HeinzelCardiology, Angiology, Intensive Care, Städtisches Klinikum Dresden Campus Friedrichstadt, Dresden, Germany.ORCID 0000-0002-4529-5282
Thomas DenekeClinic for Interventional Electrophysiology, Heart Center RHÖN-KLINIKUM Campus Bad Neustadt, Bad Neustadt an der Saale, Germany.ORCID 0000-0003-1379-1684
Elena EneClinic for Interventional Electrophysiology, Heart Center RHÖN-KLINIKUM Campus Bad Neustadt, Bad Neustadt an der Saale, Germany.ORCID 0000-0003-4276-5944
Christian MeyerDivision of Cardiology/Angiology/Intensive Care, EVK Düsseldorf, Teaching Hospital University of Düsseldorf, Düsseldorf, Germany.ORCID 0000-0003-0217-3960
Arthur WildeDepartment of Cardiology, Amsterdam UMC University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-0528-0852
Elena ArbeloArrhythmia Section, Cardiology Department, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; IDIBAPS, Institut d'Investigació August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.ORCID 0000-0003-0424-6393
Ewa Jędrzejczyk-PatejDepartment of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Centre for Heart Diseases, Zabrze, Poland.ORCID 0000-0002-1009-0076
Avi SabbagThe Davidai Center for Rhythm Disturbances and Pacing, Chaim Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0003-4295-6679
Markus StühlingerDepartment of Internal Medicine III, Cardiology and Angiology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-1324-0815
Luigi di BiaseAlbert Einstein College of Medicine at Montefiore Hospital, New York, NY, USA.ORCID 0000-0001-6508-4047
Marmar VaseghiUCLA Cardiac Arrythmia Center, Division of Cardiology, Department of Medicine, University of California, Los Angeles, CA, USA.ORCID 0000-0002-9701-9706
Ohad ZivCase Western Reserve University, Cleveland, OH, USA.ORCID 0000-0001-7515-9970
William-Fernando Bautista-VargasCardiac Electrophysiology, Fundacion CardioInfantil La Cardio, Bogota, Colombia.ORCID 0000-0001-9593-0304
Saurabh KumarDepartment of Cardiology, Westmead Hospital, Westmead Applied Research Centre, University of Sydney, Sydney, Australia.ORCID 0000-0002-5643-5076
Narayanan NamboodiriUniversity of Science and Technology Kochi, Kerala, India.ORCID 0000-0001-7997-1333
Benhur Davi HenzInstituto Brasilia de Arritmias-Hospital do Coração do Brasil-Rede Dor São Luiz, Brasilia, Brazil.ORCID 0000-0001-8415-3140
Jose Montero-CabezasDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-3851-5195
Nikolaos DagresGerman Heart Center of the Charite, Berlin, Germany.ORCID 0000-0003-0323-4956
Petr PeichlDepartment of Cardiology, IKEM, Prague, Czech Republic.
Antonio FronteraDepartment of Electrophysiology, Great Metropolitan Hospital Niguarda, Milan, Italy.
Stylianos TzeisCardoilogy Department, Mitera General Hospital, Hygeia Group, Athens, Greece.
Jose Luis MerinoArrhythmia and Robotic EP Unit, Hospital Universitario La Paz, Madrid, Spain.
Kyoko SoejimaDepartment of Cardiovascular Medicine, Kyorin University Hospital, Tokyo, Japan.
Christian de ChillouDepartment of Cardiology, University Hospital Nancy, Vandoeuvre les Nancy, France.
Roderick TungDivision of Cardiology, Cardiovascular Clinical Research, Banner Heart Institute, The University of Arizona College of Medicine-Phoenix, AZ, USA.
Lars EckardtDepartment of Cardiology - Electrophysiology, University of Münster, Münster, Germany.
Philippe MauryCardiology, University Hospital Rangueil Toulouse, Toulouse, France.
Peter HlivakDepartment of Arrhythmias and Pacing, National Institute of Cardiovascular Diseases and the Slovak Medical University School of Medicine, Bratislava, Slovakia.
Larisa G TereshchenkoDepartment of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cardiology, USA.
Pipin KojodjojoAsian Heart and Vascular Center, Singapore, Singapore.
Jacob AtiéHospital São Vicente - Rede Dor, Department of Cardiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Leiden University Medical Center · NLRhön-Klinikum · DESilesian Center for Heart Disease · PLAlbert Einstein College of Medicine · USAmsterdam Neuroscience · NLArizona Heart Institute · USAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCentre Hospitalier Régional et Universitaire de Nancy · FRCentro de Investigación Biomédica en Red · ESCleveland Clinic Lerner College of Medicine · USCochin University of Science and Technology · INCopenhagen University Hospital · DKDeutsches Herzzentrum München · DEDüsseldorf University Hospital · DEHôpital Rangueil · FRHospital do Coração · BRHospital Universitario La Paz · ESInnsbruck Medical University · ATInstitute of Cardiology · COInstitute of Clinical and Experimental Medicine · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Defibrillators, ImplantableHeart FailureTachycardia, VentricularArrhythmias, CardiacAsiaHumansIncidenceRisk FactorsArrhythmiaConsensus documentElectrical stormSudden cardiac deathVentricular fibrillationVentricular tachycardia

Identifiers

PMID38584423
PMCPMC10999775
OpenAlexW4394582072

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.