Stellate ganglion blockade and bilateral cardiac sympathetic denervation in patients with life-threatening ventricular arrhythmias

被引：41

作者：

Cardona-Guarache, Ricardo ^{[1
]}

Padala, Santosh K. ^{[1
]}

Velazco-Davila, Luis ^{[2
]}

Cassano, Anthony ^{[2
]}

Abbate, Antonio ^{[1
]}

Ellenbogen, Kenneth A. ^{[1
]}

Koneru, Jayanthi N. ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Div Cardiol, Richmond, VA USA

[2] Virginia Commonwealth Univ, Dept Cardiac Surg, Richmond, VA USA

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 2017年 / 28卷 / 08期

关键词：

autonomic modulation; cardiac sympathetic denervation; electrical storm; stellate ganglion block; ventricular arrhythmias; CORONARY-ARTERY SPASM; ELECTRICAL STORM; HEART-RATE; TACHYCARDIA; MODULATION; MANAGEMENT; STIMULATION; DEATH;

D O I：

10.1111/jce.13249

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Autonomic modulation is being increasingly employed as a strategy to treat ventricular arrhythmias refractory to beta-blockers, antiarrhythmic drugs, and catheter-based ablation procedures. We report 6 patients with refractory ventricular tachycardia (VT) or ventricular fibrillation (VF) treated with stellate ganglion blockade (SGB) and/or bilateral cardiac sympathetic denervation (CSD). Our case series emphasizes the concept that the cardiac sympathetic nerves are important targets in the management of ventricular arrhythmias. SGB and CSD can be effective in suppressing VT/VF and can be offered to patients with refractory ventricular arrhythmias as an adjunct to conventional therapy.

引用

页码：903 / 908

页数：6

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