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Stellate Ganglion Block in the Management of Recurrent Ventricular Tachycardia

Gabriel Nam and Rakhi Singh

Recurrent ventricular arrhythmias are clinically challenging cases. Patients frequently have been trialed on a variety of antiarrhythmic medications, and symptomatic cases ultimately require invasive interventions with the utilization of multiple resources. In this report, we present a 61-year-old African American male admitted to an intensive care unit with nonischemic cardiomyopathy and persistent hemodynamically unstable ventricular tachycardia successfully managed with a bilateral stellate ganglion block. He had previously been trialed on a number of antiarrhythmic medications, cardioversions, and ablations. While not commonly considered first-line therapy, stellate ganglion blocks are a promising intervention in the management of incessant ventricular tachycardia. Larger studies will be required to determine a possible role of stellate ganglion blocks in the treatment of ventricular arrhythmias.