Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias.
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2020-10-23
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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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Ganesh, Arun, Yawar J Qadri, Richard L Boortz-Marx, Sana M Al-Khatib, David H Harpole, Jason N Katz, Jason I Koontz, Joseph P Mathew, et al. (2020). Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias. Current hypertension reports, 22(12). p. 100. 10.1007/s11906-020-01111-8 Retrieved from https://hdl.handle.net/10161/21665.
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Arun Ganesh
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.
Jason Koontz
Neil Deep Ray
Albert Y. Sun
Betty Caroline Tong
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