Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias.
Abstract
PURPOSE OF REVIEW:To highlight the indications, procedural considerations, and data
supporting the use of stellate ganglion blockade (SGB) for management of refractory
ventricular arrhythmias. RECENT FINDINGS:In patients with refractory ventricular arrhythmias,
unilateral or bilateral SGB can reduce arrhythmia burden and defibrillation events
for 24-72 h, allowing time for use of other therapies like catheter ablation, surgical
sympathectomy, or heart transplantation. The efficacy of SGB appears to be consistent
despite the type (monomorphic vs polymorphic) or etiology (ischemic vs non-ischemic
cardiomyopathy) of the ventricular arrhythmia. Ultrasound-guided SGB is safe with
low risk for complications, even when performed on anticoagulation. SGB is effective
and safe and could be considered for patients with refractory ventricular arrhythmias.
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https://hdl.handle.net/10161/21665Published Version (Please cite this version)
10.1007/s11906-020-01111-8Publication Info
(2020). Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias.
Current hypertension reports, 22(12). pp. 100. 10.1007/s11906-020-01111-8. Retrieved from https://hdl.handle.net/10161/21665.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Sana Mustapha Al-Khatib
Professor of Medicine
Dr. Sana M. Al-Khatib is a tenured Professor of Medicine at Duke University Medical
Center, a board-certified clinical electrophysiologist and an experienced clinical
researcher in cardiac arrhythmias. She is currently the Director of the Fellowship
Program at the Duke Clinical Research Institute. As a graduate of the NIH-funded
Clinical Research Training Program, she is one of a few electrophysiologists nationwide
with expertise in quantitative research methods.
Marat Fudim
Assistant Professor of Medicine
Arun Ganesh
Assistant Professor of Anesthesiology
I am an anesthesiologist and pain medicine specialist. My research focuses on use
of sympathetic nerve blocks for treatment of cardiac conditions. We study the efficacy
of stellate ganglion blocks for treatment of refractory ventricular arrhythmias, and
splanchnic nerve blocks for treatment of acute and chronic heart failure. Outside
of work I enjoy playing tennis, drums, and spending time with my wife and two sons.
David Harold Harpole Jr.
George Barth Geller Distinguished Professor for Research in Cancer
A. Non-small cell lung cancer 1. Evaluation of serum and tissue molecular biologic
markers of recurrence in patients with a localize non-small cell lung cancer. 2.
Molecular biologic staging of lymph nodes in patients with non-small cell lung cancer.
3. The evaluation of the clonality of metastatic tumors in patients with non-small
cell lung cancer. B. Clinical research activities 1. Creation of a prospective
database for the Duke Thoracic Oncology Progr
Jason Neil Katz
Associate Professor of Medicine
Jason Koontz
Associate Professor of Medicine
Joseph P. Mathew
Jerry Reves, M.D. Distinguished Professor of Cardiac Anesthesiology
Current research interests include:1. The relationship between white matter patency,
functional connectivity (fMRI) and neurocognitive function following cardiac surgery.2.
The relationship between global and regional cortical beta-amyloid deposition and
postoperative cognitive decline.3. The effect of lidocaine infusion upon neurocognitive
function following cardiac surgery.4. The association between genotype and outcome
after cardiac surgery.5. Atrial fibrillation
Jonathan Paul Piccini Sr.
Professor of Medicine
Jonathan P. Piccini, MD, MHS, FACC, FAHA, FHRS is a clinical cardiac electrophysiologist
and Associate Professor of Medicine with Tenure at Duke University Medical Center
and the Duke Clinical Research Institute. He is the Director of the Cardiac Electrophysiology
section at the Duke Heart Center. His focus is on the care of patients with atrial
fibrillation and complex arrhythmias, with particular emphasis on catheter ablation,
left atrial appendage occlusion, and lead extraction. His resear
Neil Deep Ray
Assistant Professor of Anesthesiology
Albert Y. Sun
Associate Professor of Medicine
Betty Caroline Tong
Associate Professor of Surgery
Luis Ulloa
Associate Professor in Anesthesiology
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