| Autor: |
Otakar Jiravsky, Radim Spacek, Jan Chovancik, Radek Neuwirth, Miroslav Hudec, Libor Sknouril, Radka Stepanova, Paulina Suchackova, Jan Hecko, Martin Fiala, Roman Miklik |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Hellenic Journal of Cardiology, Vol 73, Iss , Pp 24-35 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
1109-9666 |
| DOI: |
10.1016/j.hjc.2023.04.003 |
| Popis: |
Background: For the treatment of patients with electrical storm (ES), we established a two-step algorithm comprising standard anti-arrhythmic measures and early ultrasound-guided stellate ganglion blockade (SGB). In this single-center study, we evaluated the short-term efficacy of the algorithm and tested the hypothesis that early SGB might prevent the need for intubations. Methods: Overall, we analyzed data for 70 ES events in 59 patients requiring SGB (mean age 67.7 ± 12.4 years, 80% males, left ventricular ejection fraction 30.0% ± 9.1%), all with implantable cardioverter-defibrillators (ICDs). Results: The mean time from ES onset to SGB was 13.2 ± 12.3 hours. Percentage and mean absolute reduction in shocks at 48 hours after SGB reached 86.8% (−6.3 shocks), and anti-tachycardiac pacing (ATP) declined by 65.9% (−51.1 ATPs; all P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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