
Left Stellate Ganglion Blockade for the Management of Drug‐Resistant Electrical Storm
Author(s) -
Patel Rishin A.,
Priore Debra L.,
Szeto Wilson Y.,
Slevin Kieran A.
Publication year - 2011
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2011.01167.x
Subject(s) - medicine , stellate ganglion , cardiology , blockade , ventricular fibrillation , heart failure , ventricular tachycardia , artery , hyponatremia , bypass grafting , tachycardia , anesthesia , receptor , alternative medicine , pathology
Background. Electrical storm (ES) is a syndrome characterized by rapidly recurrent ventricular fibrillation or tachycardia. The most common precipitants include ongoing or recent myocardial ischemia, exacerbating congestive heart failure, arrhythmogenic medications, and electrolyte disturbances. Objective. We describe the case of a patient who developed ES seventy‐two hours status post triple vessel coronary artery bypass grafting that did not respond to conservative treatment and required approximately 70 electrical shocks. Conclusion. The patient was rapidly stabilized following left stellate ganglion blockade.