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Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias.

Publication ,  Journal Article
Ganesh, A; Qadri, YJ; Boortz-Marx, RL; Al-Khatib, SM; Harpole, DH; Katz, JN; Koontz, JI; Mathew, JP; Ray, ND; Sun, AY; Tong, BC; Ulloa, L ...
Published in: Curr Hypertens Rep
October 23, 2020
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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.

Duke Scholars

Marat Fudim
Author Marat Fudim Medicine, Cardiology
Arun Ganesh
Author Arun Ganesh Anesthesiology, General, Vascular, High Risk Transplant & Cr ...
Sana Mustapha Al-Khatib
Author Sana Mustapha Al-Khatib Medicine, Cardiology
David Harold Harpole Jr.
Author David Harold Harpole Jr. Surgery, Cardiovascular and Thoracic Surgery
Jason Koontz
Author Jason Koontz Medicine, Cardiology
Joseph P. Mathew
Author Joseph P. Mathew Anesthesiology, Cardiothoracic
Neil Deep Ray
Author Neil Deep Ray Anesthesiology, Regional
Albert Y. Sun
Author Albert Y. Sun Medicine, Cardiology
Betty Caroline Tong
Author Betty Caroline Tong Surgery, Cardiovascular and Thoracic Surgery
Jonathan Paul Piccini Sr.
Author Jonathan Paul Piccini Sr. Medicine, Cardiology
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Published In

Curr Hypertens Rep

DOI

10.1007/s11906-020-01111-8

EISSN

1534-3111

Publication Date

October 23, 2020

Volume

22

Issue

12

Start / End Page

100

Location

United States

Related Subject Headings

  • Tachycardia, Ventricular
  • Stellate Ganglion
  • Hypertension
  • Humans
  • Autonomic Nerve Block
  • Arrhythmias, Cardiac
  • 3214 Pharmacology and pharmaceutical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1115 Pharmacology and Pharmaceutical Sciences
  • 1103 Clinical Sciences
 

Citation

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Ganesh, A., Qadri, Y. J., Boortz-Marx, R. L., Al-Khatib, S. M., Harpole, D. H., Katz, J. N., … Fudim, M. (2020). Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias. Curr Hypertens Rep, 22(12), 100. https://doi.org/10.1007/s11906-020-01111-8
Ganesh, Arun, Yawar J. Qadri, Richard L. Boortz-Marx, Sana M. Al-Khatib, David H. Harpole, Jason N. Katz, Jason I. Koontz, et al. “Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias.” Curr Hypertens Rep 22, no. 12 (October 23, 2020): 100. https://doi.org/10.1007/s11906-020-01111-8.
Ganesh A, Qadri YJ, Boortz-Marx RL, Al-Khatib SM, Harpole DH, Katz JN, et al. Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias. Curr Hypertens Rep. 2020 Oct 23;22(12):100.
Ganesh, Arun, et al. “Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias.” Curr Hypertens Rep, vol. 22, no. 12, Oct. 2020, p. 100. Pubmed, doi:10.1007/s11906-020-01111-8.
Ganesh A, Qadri YJ, Boortz-Marx RL, Al-Khatib SM, Harpole DH, Katz JN, Koontz JI, Mathew JP, Ray ND, Sun AY, Tong BC, Ulloa L, Piccini JP, Fudim M. Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias. Curr Hypertens Rep. 2020 Oct 23;22(12):100.
Journal cover image

Published In

Curr Hypertens Rep

DOI

10.1007/s11906-020-01111-8

EISSN

1534-3111

Publication Date

October 23, 2020

Volume

22

Issue

12

Start / End Page

100

Location

United States

Related Subject Headings

  • Tachycardia, Ventricular
  • Stellate Ganglion
  • Hypertension
  • Humans
  • Autonomic Nerve Block
  • Arrhythmias, Cardiac
  • 3214 Pharmacology and pharmaceutical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1115 Pharmacology and Pharmaceutical Sciences
  • 1103 Clinical Sciences