title: [Blockade of the left stellate ganglion using a drug reservoir pump. A new treatment method in the QT syndrome].
abstract: 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.
authors: Abteilung Innere Medizin IV, Zentrum für Innere Medizin der Universität Ulm.
authors: T
authors: T
authors: Eggeling
authors: H W
authors: HW
authors: Höpp
authors: A
authors: A
authors: Koulousakis
authors: H G
authors: HG
authors: Eckert
authors: V
authors: V
authors: Hombach
mesh_terms: 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*
chemical_list: D000779:Anesthetics, Local
vernacular_title: Blockade des linken Ganglion stellatum mittels Medikamentenpumpe. Eine neue Behandlungsmethode bei QT-Syndrom.