| Author/Editor | Loyalka, Pranav; Hariharan, Ramesh; Gholkar, Gunjan; Gregorič, Igor; Tamerisa, Ravi; Nathan, Sriram; Kar, Biswajit | |
| Title | Left stellate ganglion block for continuous ventricular arrhythmias during percutaneous left ventricular assist device support | |
| Type | članek | |
| Vol. and No. | Letnik 38, št. 4 | |
| Publication year | 2011 | |
| Volume | 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 | |
| Language | eng | |
| Abstract | 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. | |
| Keywords | cardiac arrhythmias drug therapy heart conduction system srčne aritmije terapija z zdravili sistem prevodnosti srca |