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- Nazar Y Dubchak, Andrei S B Lojek, Austin G Bell, Mitchell I Cohen, Talora L Steen, and Kamen V Vlassakov.
- From the Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, Maryland.
- A A Pract. 2024 Feb 1; 18 (2): e01721e01721.
AbstractCatecholaminergic polymorphic ventricular tachycardia (CPVT) is an arrhythmogenic disorder characterized by episodes of polymorphic ventricular tachycardia. Clinically, patients who have CPVT present with juvenile sudden death or stress-induced syncope. We present a case of an 18-year-old girl with CPVT resistant to traditional pharmacotherapies. Instead of a typical stellate ganglion block (SGB), the patient underwent bilateral continuous proximal intercostal blocks that successfully inhibited arrhythmogenic events. This therapeutic method may provide an alternative to SGBs and demonstrates proof of concept for an early elective intervention to be included in the diagnostic and therapeutic algorithm for patients with CPVT.Copyright © 2024 International Anesthesia Research Society.
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