KaydedilenlerDerginizi ekleyin

Dergiler / Turkish Journal of Medical Sciences / 2012 / Cilt: 42 - Sayı: 1

Effects of right and left stellate ganglion block on blood pressure and QT-QTc intervals in patients with primary Raynaud's phenomenon

Suna Akin TAKMAZ
Hale Yarkan UYSAL
Nurten İNAN
Zekeriya KAPTAN
Hülya BAŞAR
Sayfa
89–94
Yayın Tarihi
2012-01-01
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Precautions must be taken, taking into account the risk of fatal arrhythmia following right SGB.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:To examine the effects of right and left stellate ganglion block (SGB) on blood pressure and the RR, QT, and QTc intervals in patients with primary Raynaud's phenomenon.
📊
Temel Bulgular & Veri:Materials and methods: Right and left SGBs were performed with 8 mL of 0.5% bupivacaine in 10 patients with primary Raynaud's phenomenon.
💡
Sonuç & Katkı:Precautions must be taken, taking into account the risk of fatal arrhythmia following right SGB.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Key words: Stellate ganglion block · QT interval · Raynaud's phenomenon

Özet

To examine the effects of right and left stellate ganglion block (SGB) on blood pressure and the RR, QT, and QTc intervals in patients with primary Raynaud's phenomenon. Materials and methods: Right and left SGBs were performed with 8 mL of 0.5% bupivacaine in 10 patients with primary Raynaud's phenomenon. There was an interval of at least 1 week between the right and left blocks of each patient. The blood pressure and the RR and QT intervals were measured before the block and 5, 10, 15, 20, and 30 min after the block. The QTc interval was calculated using Bazett's formula. Results: The RR and QT intervals were longer 20 and 30 min after right SGB when compared with the preblock value (P = 0.037 for RR and P = 0.008 for QT). The QT and QTc intervals 20 and 30 min after left SGB were shorter than the preblock values (P = 0.011, P = 0.012 for QT; P = 0.013, P = 0.009 for QTc). Conclusion: We conclude that right SGB prolongs the RR and QT intervals while left SGB shortens the QT and QTc intervals in patients with primary Raynaud's phenomenon. Precautions must be taken, taking into account the risk of fatal arrhythmia following right SGB.

Abstract

To examine the effects of right and left stellate ganglion block (SGB) on blood pressure and the RR, QT, and QTc intervals in patients with primary Raynaud's phenomenon. Materials and methods: Right and left SGBs were performed with 8 mL of 0.5% bupivacaine in 10 patients with primary Raynaud's phenomenon. There was an interval of at least 1 week between the right and left blocks of each patient. The blood pressure and the RR and QT intervals were measured before the block and 5, 10, 15, 20, and 30 min after the block. The QTc interval was calculated using Bazett's formula. Results: The RR and QT intervals were longer 20 and 30 min after right SGB when compared with the preblock value (P = 0.037 for RR and P = 0.008 for QT). The QT and QTc intervals 20 and 30 min after left SGB were shorter than the preblock values (P = 0.011, P = 0.012 for QT; P = 0.013, P = 0.009 for QTc). Conclusion: We conclude that right SGB prolongs the RR and QT intervals while left SGB shortens the QT and QTc intervals in patients with primary Raynaud's phenomenon. Precautions must be taken, taking into account the risk of fatal arrhythmia following right SGB.

🔖

Bu Makaleye Atıf Yap

TAKMAZ, S. A., UYSAL, H. Y., İNAN, N., KAPTAN, Z., BAŞAR, H. (2012). Effects of right and left stellate ganglion block on blood pressure and QT-QTc intervals in patients with primary Raynaud's phenomenon. Turkish Journal of Medical Sciences, Cilt: 42 - Sayı: 1, 89–94. https://ajindex.com/articles/723513

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Raynaud M. Local asphyxia and symmetrical gangrene of the extremities. Paris: L. Leclerc; 1862. Bonica JJ, Bucley FP. Block of the sympathetic nervous system. In: Bonica JJ, editor. Regional analgesia with local anesthetics. Malvern (PA): Lea & Febinger; 1991. p.1931-46.
  2. Magnano AR, Holleran S, Ramakrishnan R, Reiff el JA, Bloomfi eld DM. Autonomic nervous system infl uences on QT interval in normal subjects. J Am Coll Cardiol 2002; 39: 1820-6.
  3. Egawa H, Okuda Y, Kitajima T, Minami J. Assessment of QT interval and QT dispersion following stellate ganglion block using computerized measurements. Reg Anesth Pain Med 2001; 26: 539-44.
  4. Fujii K, Yamaguchi S, Egawa H, Hamaguchi S, KitajimaT, Minami J. Eff ects of head-up tilt aft er stellate ganglion block on QT interval and QT dispersion. Reg Anesth Pain Med 2004; 29: 317-22.
  5. Masuda A, Fujiki A. Sinus arrest aft er right stellate ganglion block. Anesth Analg 1994; 79: 607. Chiang CE. Congenital and acquired long QT syndrome. Current concepts and management. Cardiol Rev 2004; 12: 222-34.
  6. Block JA, Sequeira W. Raynaud’s phenomenon. Lancet 2001; 357: 2042-48. Bazett HC. An analysis of the time-relations of electrocardiograms. Heart 1920; 7: 353-70.
  7. Kashima T, Tanaka H, Minagoe S, Toda H. Electrocardiographic changes induced by the stellate ganglion block in normal subjects. J Electrocardiol 1981; 14: 169-74.
  8. Fujiki A, Masuda A, Inoue H. Eff ects of unilateral stellate ganglion block on the spectral characteristics of heart rate variability. Jap Circ J 1999; 63: 854-8.
  9. Gardner MJ, Kimber S, Johnstone DE, Shukla RC, Horacek BM, Forbes C et al. Th e eff ects of unilateral stellate ganglion blockade on human cardiac function during rest and exercise. J Cardiovasc Electrophysiol 1993; 4: 2-8.
  10. Cinca J, Evangelista A, Montoyo J, Barutell C, Figueras J, Valle V et al. J. Electrophysiologic eff ects of unilateral right and left stellate ganglion block on the human heart. Am Heart J 1985; 109: 46-54.
  11. Saxena AK, Aggarwal B, Nakra D, Sethi AK, Aggarwal AN. Evaluation of PR, RR, QT, intervals and QT dispersion following stellate ganglion block in chronic shoulder-hand pain patients. Pain Pract 2004; 4: 91-7.
  12. Yanagida H, Kemi C, Suwa K. Th e eff ects of stellate ganglion block on the idiopathic prolongation of the QT interval with cardiac arrhythmia (the Romano-Ward syndrome). Anesth Analg 1976; 55: 782-7.
  13. Levy MN, Ng ML, Zieske H. Functional distribution of the peripheral cardiac sympathetic pathways. Circ Res 1966; 19: 650-61.