Why the study?
Does left stellate ganglion blockade improve stabilization in a patient with drug-resistant electrical storm post-CABG?
Does left stellate ganglion blockade improve stabilization in a patient with drug-resistant electrical storm post-CABG?
Left stellate ganglion blockade can serve as an effective rescue therapy for rapidly stabilizing patients with drug-resistant electrical storm.
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May support stellate ganglion blockade for stabilization in refractory electrical storm; hypothesis-generating case report.
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.
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Patel et al. (2011) studied this question.
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