• A&A practice · Jan 2025

    Case Reports

    Prolonged Treatment of Inappropriate Sinus Tachycardia with Continuous Stellate Ganglion Blockade: A Case Report.

    • Rebecca Christensen, Emily O Burzynski, Sarah R Vincze, Edan Bashkin, Priyanka Shetty, Pranjali Kainkaryam, and Kevin Finkel.
    • From the Integrated Anesthesia Associates, Department of Anesthesia, Bone & Joint Institute and Hartford Hospital, Hartford, Connecticut.
    • A A Pract. 2025 Jan 1; 19 (1): e01889e01889.

    AbstractInappropriate sinus tachycardia (IST) presents challenges in diagnosis and treatment due to its unclear etiology and limited therapeutic options. This case report explores the use of continuous stellate ganglion block (CSGB) as a potential treatment avenue. A 23-year-old woman with refractory IST underwent several CSGB placements, resulting in prolonged symptom relief and decreased median heart rate. Despite the eventual recurrence of symptoms, the sustained effects of CSGB suggest its efficacy in managing IST. This report underscores the potential of CSGB as a promising therapeutic approach for IST, offering longer-lasting symptom control compared to single-injection stellate ganglion block (SGB) interventions.Copyright © 2025 International Anesthesia Research Society.

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