J Korean Pain Soc.  2000 Jun;13(1):115-118.

Clinical Experience for a Patient with Long QT Syndrome

Affiliations
  • 1Department of Anesthesiology, Keimyung University School of Medicine, Taegu, Korea.

Abstract

Stellate ganglion block is most commonly used in pain clinic because it is an easy procedure and it has broad indications reported that Angina pectoris, tachyarrhythmia and long QT syndrome (LQTS) are indicated. LQTS is a disorder of the abnormalities of cardiac sympathetic innervatian and of myocardial repolarization. LQTS is characterized by marked prolongation of the QT interval, often manifestating as syncope, seizures, or sudden death due to polymorphic ventricular tachyarrhythmia known as torsades de pointes. Treatment of symptomatic patients usually begin with beta blocker. The elective treatment of LQTS patients unresponsive to beta blocker is the left cardiac sympathetic denervation. We report a case of LQTS patient who had received stellate ganglion block.

Keyword

Anesthetic techniques, stellate ganglion block; Disease, Long QT syndrome

MeSH Terms

Angina Pectoris
Death, Sudden
Humans
Long QT Syndrome*
Pain Clinics
Seizures
Stellate Ganglion
Sympathectomy
Syncope
Tachycardia
Torsades de Pointes
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