Effect of Stellate Ganglion Block in Patients with Ventricular Electrical Storm: A Case Report

Hye-Rim Kwon, Na Eun Kim, Junghyung Lee, Byung Gun Kim, H. Shinn
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Abstract

If cardiac sympathetic activity increases after myocardial injury, a ventricular electrical storm (VES) may occur. The stellate ganglion block is a minimally invasive technique performed to control VES through temporary sympathetic cessation. This case was treated after 3 stellate ganglion blocks in VES developed after non-ST elevation myocardial infarction. This patient underwent prophylactic stellate ganglion block prior to radical nephrectomy for a renal mass found during hospitalization, and the operation was safely completed. Stellate ganglion block is expected to be a safe treatment option for patients with unstable VES.
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星状神经节阻滞治疗脑室电风暴1例
如果心肌损伤后心脏交感神经活动增加,心室电风暴(VES)可能发生。星状神经节阻滞是一种通过暂时停止交感神经来控制VES的微创技术。本病例在非st段抬高型心肌梗死后发生的VES中行3次星状神经节阻滞治疗。该患者因住院期间发现肾肿块而行根治性肾切除术前预防性星状神经节阻滞,手术安全完成。星状神经节阻滞有望成为不稳定VES患者的安全治疗选择。
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