Arrhythmias & electrophysiology
Factors Associated with Stellate Ganglion Block Success in Recurrent Ventricular Arrhythmias
Authors' conclusion
In this multicentre experience, SGB was similarly effective despite the aetiology of cardiomyopathy, type of arrhythmia, laterality, and inotropic or mechanical support. SGB was less effective for the suppression of ventricular arrythmias at 24 h for the elderly.
Study context
- Population
- Patients with refractory ventricular arrhythmias treated with stellate ganglion block (SGB), Czech Republic and US
- Participants
- 117 patients
- Exposure
- Predictors of SGB success by patient and arrhythmia characteristics
- Outcome
- Absence of ventricular arrhythmias
- Follow-up
- 24 h post SGB
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
SGB success (absence of ventricular arrhythmias at 24 h), multivariable predictors
Odds ratio (CI)P value
Increased agedecreased odds of SGB success
0.96(0.92–0.99)
P = 0.039Increased LVEFtrend towards increased odds of SGB success
1.05(0.995–1.11)
P = 0.077- No difference in SGB efficacy by aetiology of cardiomyopathy
- P = 0.623
- No difference in SGB efficacy by arrhythmia type
- 0.852
- No difference in SGB efficacy by laterality of block
- P = 0.131
- No difference in SGB efficacy by presence of inotropes
- P = 0.083
Observational data: associations, not effects.
Original publication
Factors Associated with Stellate Ganglion Block Success in Recurrent Ventricular Arrhythmias. ESC Heart Fail. Published 10 September 2024. doi:10. 1002/ ehf2. 15072
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