Description

Gunda et al reported a score for complications associated with ablation of ventricular tachycardia. This can help to identify a patient who may benefit from more aggressive management. The authors are from Virginia Commonwealth University in Richmond.


Patient selection: catheter ablation

 

Outcome: any complication (vascular, cardiac, pulmonary, cerebrovascular, shock, septicemia, in-hospital mortality)

 

Parameters:

(1) age in years

(2) sex

(3) coagulopathy

(4) chronic liver disease

(5) chronic kidney disease with electrolyte abnormalities

(6) acuity of admission

(7) cerebrovascular accident

(8) coronary artery disease

(9) peripheral vascular disease

 

Parameter

Finding

Points

age in years

<= 65 years

0

 

> 65 years

2

sex

male

0

 

female

1

coagulopathy

absent

0

 

present

5

chronic liver disease

absent

0

 

present

5

chronic kidney disease

absent

0

 

present

5

acuity of admission

emergency

3

 

non-emergency

0

cerebrovascular accident

absent

0

 

present

3

coronary artery disease

absent

0

 

present

2

peripheral vascular disease

absent

0

 

present1

1

 

total score =

= SUM(points for all 9 parameters)

 

Interpretation:

minimum score: 0

maximum score: 27

The higher the score the greater the risk for complicaitons.

 

Total Score

Risk Group

Percent Complications

0

0 (low)

2.7%

1 to 5

1

10%

6 to 10

2

21%

>= 11

3 (high)

>= 31%

 

where:

According to Figure 2, the percent of complications in Group 3 can reach almost 80%.


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