{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T13:34:39Z","timestamp":1786714479072,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Risk stratification in patients undergoing urgent ventricular tachycardia (VT) ablation is limited, particularly regarding right ventricular dysfunction, which is often underrecognized in this setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We investigated whether the right atrial pressure (RAP) to pulmonary capillary wedge pressure (PCWP) ratio or pulmonary artery pulsatility index (PAPi) predicts short\u2010term outcomes following urgent VT ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed 102 consecutive patients who underwent unplanned inpatient VT ablation and had right heart catheterization (RHC) within the preceding 12 months. All were admitted with recurrent VT; 67 (66%) had VT storm. Hemodynamic stratification was performed using two established indices of right\u2010sided function: RAP:PCWP\u2009&gt;\u20090.6 versus \u2264\u20090.6 and pulmonary artery pulsatility index (PAPi)\u2009&lt;\u20092 versus \u2265\u20092, calculated as\n                      <jats:italic>(pulmonary artery systolic pressure \u2212 pulmonary artery diastolic pressure)\/right atrial pressure<\/jats:italic>\n                      . Outcomes included acute kidney injury (AKI), intraprocedural hemodynamic instability, 30\u2010day VT recurrence, 30\u2010day mortality\/LVAD\/transplant, delayed extubation, postoperative length of stay &gt;\u20097 days, and same\u2010day complications. Multivariable logistic regression adjusted for age, sex, LVEF, NYHA class, ischemic cardiomyopathy, RHC type, and moderate\u2010to\u2010severe MR\/TR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort was 88% male, mean age 64\u2009\u00b1\u200911.9 years; 47% had LVEF\u2009&lt;\u200925%, and 58% NYHA III\u2013IV symptoms. RAP:PCWP\u2009&gt;\u20090.6 was independently associated with higher risk of AKI (OR 10.4, 95% CI 2.4\u201314.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and intraprocedural hemodynamic instability (OR 6.1, 95% CI 1.5\u201316.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.050). Age &gt;\u200960 also predicted AKI (OR 12.8, 95% CI 1.3\u201321.3). PAPi &lt;\u20092 and LVEF\u2009&lt;\u200925% were not associated with adverse outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among urgent VT ablation patients, elevated RAP:PCWP, but not PAPi, identifies those at increased risk for AKI and intraprocedural hemodynamic instability. Incorporating RAP:PCWP into preprocedural assessment may enhance risk stratification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70393","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T17:41:21Z","timestamp":1781026881000},"page":"1699-1708","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Invasive Assessment of Right Ventricular Dysfunction Predicts Periprocedural Outcomes in Patients Undergoing Unplanned Ventricular Tachycardia Ablation"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4087-3901","authenticated-orcid":false,"given":"Tess","family":"Calcagno","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Prasad","family":"Ramachandran","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Karthik","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mendpara","family":"Vaidehi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Cesmat","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Sipko","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Baranowski","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep","family":"Bhargava","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas D.","family":"Callahan","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina K.","family":"Chung","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Dresing","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman A.","family":"Hussein","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Kanj","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arshneel","family":"Kochar","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David O.","family":"Martin","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walid I.","family":"Saliba","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler L.","family":"Taigen","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niraj","family":"Varma","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin Z.","family":"Lee","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oussama M.","family":"Wazni","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres Carmona","family":"Rubio","sequence":"additional","affiliation":[{"name":"Section of Heart Failure and Cardiac Transplantation, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Santangeli","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2490-5106","authenticated-orcid":false,"given":"Jakub","family":"Sroubek","sequence":"additional","affiliation":[{"name":"Section of Cardiac Pacing and Electrophysiology, Department of Cardiovascular Medicine Cleveland Clinic Cleveland Ohio 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