Journal de la douleur et du soulagement

Abstrait

Stellate Ganglion Block in the Management of Recurrent Ventricular Tachycardia

Gabriel Nam and Rakhi Singh

Recurrent ventricular arrhythmias are clinically challenging cases. Patients frequently have been trialed on a variety of antiarrhythmic medications, and symptomatic cases ultimately require invasive interventions with the utilization of multiple resources. In this report, we present a 61-year-old African American male admitted to an intensive care unit with nonischemic cardiomyopathy and persistent hemodynamically unstable ventricular tachycardia successfully managed with a bilateral stellate ganglion block. He had previously been trialed on a number of antiarrhythmic medications, cardioversions, and ablations. While not commonly considered first-line therapy, stellate ganglion blocks are a promising intervention in the management of incessant ventricular tachycardia. Larger studies will be required to determine a possible role of stellate ganglion blocks in the treatment of ventricular arrhythmias.