Unilateral sympathetic ganglion denervation in the management of sustained ventricular tachycardia
نویسندگان
چکیده
Introduction Cardiac sympathetic activity contributes to ventricular electrical instability and makes the heart vulnerable to malignant ventricular tachycardia / ventricular fibrillation (VT/VF), while stellate ganglionectomy can prolong the ventricular refractory period, increase the VF threshold, and decrease VT/VF inducibility. Cardiac sympathetic denervation is an effective adjunct procedure to reduce fatal arrhythmias intolerant to beta blockers. We present a case of ischemic cardiomyopathy with post revascularization drug-refractory VT/VF in which the patient was successfully treated with left cardiac sympathetic denervation (LCSD) followed by local invasive sympathetic ganglion block.
منابع مشابه
Physical and Psychological Consequences of Left Cardiac Sympathetic Denervation in Long-QT Syndrome and Catecholaminergic Polymorphic Ventricular Tachycardia.
BACKGROUND Left cardiac sympathetic denervation reduces risk in long-QT syndrome (LQTS) and catecholaminergic polymorphic ventricular tachycardia. Side effects and patient satisfaction have not been systematically analyzed in patients who underwent left cardiac sympathetic denervation. Aims of this study included documenting physical and psychological consequences and patient satisfaction after...
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