Clinical efficacy analysis of stellate ganglion blockade for the treatment of patients with arrhythmia
Objective To investigate the effect of stellate ganglion block in the treatment of arrhythmia.Methods Ten patients with arrhythmias with poor drug treatment effect admitted to the Department of Cardiology of General Hospital of Northern Theater Command from June to October 2023 were selected as the study objects.The types of arrhythmias included 8 cases of ventricular tachycardia elec-trical storm,1 case of rapid atrial fibrillation,and 1 case of frequent premature ventricular beat.The patient received unilateral or bilat-eral stellar ganglion block with 1%lidocaine 100 mg.The use of antiarrhythmic drugs,the occurrence of arrhythmia,the frequency of electrocardioversion before and after block were recorded,and the follow-up discharge and clinical outcome were also recorded.Results Five patients(50.0%)had the arrhythmia terminated after a single stalliform ganglion block,three patients(30.0%)had the arrhythmia terminated after two blocks,and two patients(20.0%)had the arrhythmia terminated after three blocks.The types of antiar-rhythmic drugs decreased in 7 cases(70.0%)and did not change in 3 cases(30.0%).Horner syndrome appeared in 3 patients after block(case 1,case 7,case 10).All the 10 patients successfully completed stellate ganglion block without complications.Three patients were discharged after mplantable cardioverter-defibrillator implantation for 48 hours without recurrence of ventricular arrhythmia,one patient was discharged after permanent pacemaker,three patients were discharged after at least 24 hours without ventricular tachycardia and one patient died due to cardiac arrest.One patient with frequent ventricular premature beat was discharged after stable condition.One patient with rapid atrial fibrillation with hemodynamic disturbance was discharged after stable condition,and died of heart failure 10 days after discharge.Conclusion Stele ganglion block is a safe and effective treatment for patients with ventricular tachycardia,rapid atrial fibrillation and frequent premature ventricular beats that do not respond to drug therapy.
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