[Blockade of the left stellate ganglion using a drug reservoir pump. A new treatment method in the QT syndrome].
In patients with long QT syndrome (LQTS) the therapy of first choice is the administration of propranolol (2-4 mg/kg of body weight daily). If not effective alone, a combination of propranolol and phenytoin (200 mg daily) has proved to be effective. Nevertheless, in about 7% of cases medical therapy failed to prevent serious arrhythmic events. A 28-year-old woman suffered tachyarrhythmic episodes despite medical treatment. After additional pharmacological blockade of the left stellate ganglion, using an implantable pump catheter system (Secor) a stable heart rhythm could be achieved. No more syncopes were reported in this patient. In the case of failing medical therapy, the implantation of a pump catheter system could be an alternative method to surgical left ganglion stellectomy.
Eggeling
T
T
Abteilung Innere Medizin IV, Zentrum für Innere Medizin der Universität Ulm.
Höpp
H W
HW
Koulousakis
A
A
Eckert
H G
HG
Hombach
V
V
D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage*; D001145:Arrhythmias, Cardiac / Q000188:drug therapy*; D004562:Electrocardiography; D005260:Female; D005728:Ganglia, Sympathetic / Q000187:drug effects*; D006801:Humans; D007260:Infusion Pumps; D008133:Long QT Syndrome / Q000188:drug therapy*
D000779:Anesthetics, Local
Blockade des linken Ganglion stellatum mittels Medikamentenpumpe. Eine neue Behandlungsmethode bei QT-Syndrom.