Avtor/Urednik		Loyalka, Pranav; Hariharan, Ramesh; Gholkar, Gunjan; Gregorič, Igor; Tamerisa, Ravi; Nathan, Sriram; Kar, Biswajit
Naslov		Left stellate ganglion block for continuous ventricular arrhythmias during percutaneous left ventricular assist device support
Tip		članek
Vol. in št.		Letnik 38, št. 4
Leto izdaje		2011
Obseg		str. 409-411
ISSN		0730-2347 - Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
Jezik		eng
Abstrakt		A 58-year-old man presented with chest pain and tightness and was diagnosed with a Q-wave anterior myocardial infarction. He then developed pulseless ventricular arrhythmias, which were treated with repeated direct-current shocks and intravenous amiodarone. He underwent emergency cardiac catheterization: stents were deployed in the left anterior descending coronary artery and right coronary artery, and an intra-aortic balloon pump was inserted. Severe refractory cardiogenic shock and incessant ventricular arrhythmias compelled us to place a TandemHeart percutaneous left ventricular assist device 4 hours later. The patient's hemodynamic status stabilized, but the arrhythmias persisted for 36 hours. Multiple doses of intravenous amiodarone and lidocaine and multiple external direct-current shocks were all tried, but these measures failed to terminate the life-threatening ventricular arrhythmias. We performed a pharmacologic block of the left stellate ganglion, and this resulted in a return to sinus rhythm after 1 direct-current shock. To our knowledge, this is the 1st patient with refractory ventricular arrhythmias to have been treated with TandemHeart support and left stellate ganglion block.
Proste vsebinske oznake		cardiac arrhythmias drug therapy heart conduction system srčne aritmije terapija z zdravili sistem prevodnosti srca