Evidence map›Paper›PMID 38178564›Full record

ArticleThe American journal of case reports2024

Life-Threatening Electrical Storm Following Liver Transplantation: A Case Report.

David Richer Araujo Coelho, Rogerio Oliveira da Luz, Samanta Teixeira Basto, Mauro Rogério De Barros Wanderley Júnior, Claudia Cristina Tavares de Sousa, Elke Reis Fagundes de Carvalho, Eduardo de Sousa Martins Fernandes, Anderson Brito-Azevedo

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

David Richer Araujo CoelhoIntensive Care Unit, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Rogerio Oliveira da LuzIntensive Care Unit, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Samanta Teixeira BastoDepartment of Gastrointestinal and Liver Transplant Surgery, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Mauro Rogério De Barros Wanderley JúniorMedcor Cardiologic Clinic, Campo Grande, MS, Brazil.
Claudia Cristina Tavares de SousaDepartment of Gastrointestinal and Liver Transplant Surgery, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Elke Reis Fagundes de CarvalhoIntensive Care Unit, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Eduardo de Sousa Martins FernandesDepartment of Gastrointestinal and Liver Transplant Surgery, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Anderson Brito-AzevedoDepartment of Gastrointestinal and Liver Transplant Surgery, Hospital Adventista Silvestre (HAS), Rio de Janeiro, RJ, Brazil.
Hospital Adventista Silvestre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Electrical storm is a rare but potentially life-threatening syndrome characterized by recurrent ventricular arrhythmias. Liver transplant recipients are at increased risk of developing electrical storms due to conditions that prolong QT intervals, such as cirrhotic cardiomyopathy. However, limited information exists on electrical storms in this specific population. This case report presents a patient who experienced 13 cardiac arrests during ventricular fibrillation following liver transplantation. CASE REPORT A 61-year-old woman with a medical history of diabetes, obesity, and cirrhosis due to non-alcoholic fatty liver disease underwent liver transplantation using a deceased donor's liver. Following the procedure, she developed a deterioration in her respiratory function, necessitating orotracheal intubation. Approximately 21 hours post-surgery, she experienced cardiac arrest during ventricular fibrillation, which was rapidly reversed with electrical defibrillation. However, the patient entered a state of electrical storm. Management involved antiarrhythmic medications and temporary transvenous cardiac pacing. She remained stable for 40 hours, but a dislodgment of the device triggered another episode of ventricular fibrillation, leading to her death. CONCLUSIONS This case report highlights the clinical presentation and challenges in managing electrical storms in liver transplant recipients. We hypothesize that cirrhotic cardiomyopathy could be the cause of her recurrent ventricular arrhythmias. Further studies are needed to better understand the underlying mechanisms and risk factors of this life-threatening syndrome in this population, which may enhance risk stratification and enable earlier intervention.

Indexed as

CardiomyopathiesHeart ArrestLiver TransplantationArrhythmias, CardiacFemaleHumansLiver CirrhosisMiddle AgedVentricular Fibrillation

Identifiers

PMID38178564
PMCPMC10775133
OpenAlexW4389489491

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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 OpenQuestion graph.