{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T20:42:00Z","timestamp":1791319320583,"version":"4.3.1"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Ventricular arrhythmias (VAs) occur frequently following left ventricular assist device (LVAD) implantation. However, current evidence regarding their true incidence and impact remains limited.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We performed a systematic review and meta-analysis to assess the incidence and impact of post-LVAD VAs. PubMed\/Embase\/Cochrane databases were searched from inception to 1 April 2025, for studies reporting the occurrence of VAs following LVAD implantation. The primary outcome was the overall incidence of VAs. Secondary outcomes included the incidence of early (\u226430 days) and late (&amp;gt;30 days) VAs, as well as electrical storm (ES) and their impact on all-cause mortality, assessed using incidence rate ratios (IRRs). Forty studies including 22 181 patients were analysed. The overall incidence of post-LVAD VAs was 2.43 (1.70\u20133.48) events per 100 person-months. Ventricular arrhythmia occurrence was significantly associated with increased all-cause mortality [IRR 1.32 (1.11\u20131.57)). The incidence of early VAs was 0.65 (0.48\u20130.88) events per 100 person-days (19.5 events per 100 patients over 30 days), and early VAs were associated with a higher risk of mortality [IRR 1.40 (1.18\u20131.67)]. Conversely, the incidence of late VAs was 2.05 (1.43\u20132.93) events per 100 person-months and was not significantly associated with mortality [IRR 0.85 (0.66\u20131.10)]. Electrical storm incidence was 0.44 (0.07\u20132.71) events per 100 person-months, significantly increasing all-cause mortality [IRR 1.34 (1.01\u20131.79)].<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Ventricular arrhythmias are frequent following LVAD implantation and are associated with a significant impact on all-cause mortality\u2014particularly when occurring early after implantation. Further studies are needed to optimize VA management and implantable cardioverter-defibrillator use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euaf129","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T17:18:42Z","timestamp":1750871922000},"source":"Crossref","is-referenced-by-count":14,"title":["Ventricular arrhythmias following left ventricular assist device implantation: a systematic review and meta-analysis of incidence and clinical impact"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8952-6283","authenticated-orcid":false,"given":"Miloud","family":"Cherbi","sequence":"first","affiliation":[{"name":"Cardiology Department, Toulouse University Hospital , 1 Avenue du Pr Jean Poulhes, 31400, Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9934-8432","authenticated-orcid":false,"given":"Paul","family":"Gautier","sequence":"additional","affiliation":[{"name":"Cardiology Department, Toulouse University Hospital , 1 Avenue du Pr Jean Poulhes, 31400, Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8348-9320","authenticated-orcid":false,"given":"Frederic","family":"Sacher","sequence":"additional","affiliation":[{"name":"Cardiac Pacing and Electrophysiology Department, IHU LIRYC, CHU Bordeaux, Bordeaux University, INSERM 1045 , Bordeaux ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5716-6712","authenticated-orcid":false,"given":"Raphael","family":"Martins","sequence":"additional","affiliation":[{"name":"Cardiology Department, University of Rennes, CHU Rennes, CIC 1414, INSERM, LTSI\u2014UMR 1099 Rennes F-35000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4500-0146","authenticated-orcid":false,"given":"Sebastien","family":"Knecht","sequence":"additional","affiliation":[{"name":"Cardiology Department, AZ Sint Kan Brugge , Bruges ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4800-1841","authenticated-orcid":false,"given":"Philippe","family":"Maury","sequence":"additional","affiliation":[{"name":"Cardiology Department, Toulouse University Hospital , 1 Avenue du Pr Jean Poulhes, 31400, Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9180-9128","authenticated-orcid":false,"given":"Cl\u00e9ment","family":"Delmas","sequence":"additional","affiliation":[{"name":"Cardiology Department, Toulouse University Hospital , 1 Avenue du Pr Jean Poulhes, 31400, Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"2025071104112892200_euaf129-B1","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.healun.2022.12.004","article-title":"The 2023 International Society for Heart and Lung Transplantation Guidelines for mechanical circulatory support: a 10- year update","volume":"42","author":"Saeed","year":"2023","journal-title":"J Heart Lung Transplant"},{"key":"2025071104112892200_euaf129-B2","doi-asserted-by":"crossref","first-page":"euae272","DOI":"10.1093\/europace\/euae272","article-title":"Drug therapy and catheter ablation for management of arrhythmias in continuous flow left ventricular assist device\u2019s patients: a clinical consensus statement of the European Heart Rhythm Association and the Heart Failure Association of the ESC","volume":"26","author":"Peichl","year":"2024","journal-title":"Europace"},{"key":"2025071104112892200_euaf129-B3","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/j.jacep.2018.04.014","article-title":"Management of arrhythmias and cardiac implantable electronic devices in patients with left ventricular assist devices","volume":"4","author":"Ho","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"2025071104112892200_euaf129-B4","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1002\/ejhf.3635","article-title":"Cardiac implantable electronic and other monitoring devices in continuous-flow left ventricular assist device patients. 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