PAINESD Score

Estimates the risk of acute hemodynamic decompensation during catheter ablation of scar-related ventricular tachycardia.

Score range

0–31 points

Clinical variables

Select all applicable factors

Lower-risk category

PAINESD score 0–8.

Intermediate-risk category

PAINESD score 9–14.

Higher-risk category

PAINESD score 15 or higher.

Scientific reference

Santangeli P, Frankel DS, Tung R, Vaseghi M, Sauer WH, Tzou WS, Mathuria N, Nakahara S, Dickfeldt TM, Lakkireddy D, Bunch TJ, Di Biase L, Natale A, Tholakanahalli V, Tedrow UB, Kumar S, Stevenson WG, Della Bella P, Shivkumar K, Marchlinski FE, Callans DJ; International VT Ablation Center Collaborative Group. Early Mortality After Catheter Ablation of Ventricular Tachycardia in Patients With Structural Heart Disease. J Am Coll Cardiol. 2017 May 2;69(17):2105-2115. doi: 10.1016/j.jacc.2017.02.044. PMID: 28449770.

The PAINESD score combines pulmonary disease, age, ischemic cardiomyopathy, NYHA functional class, ejection fraction, ventricular tachycardia storm and diabetes to support procedural risk stratification.