Arrhythmias & electrophysiology

Factors Associated with Stellate Ganglion Block Success in Recurrent Ventricular Arrhythmias

ESC Heart FailPublished Retrospective cohort study

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 = 0.039
Increased 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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