Left Stellectomy in the Long QT Syndrome

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Presentation transcript:

Left Stellectomy in the Long QT Syndrome Bruce H. Coyer, M.D., Ray Pryor, M.D., Wolff M. Kirsch, M.D., S. Gilbert Blount, M.D. CHEST Volume 74, Issue 5, Pages 584-586 (November 1978) DOI: 10.1378/chest.74.5.584 Copyright © 1978 The American College of Chest Physicians Terms and Conditions

Figure 1 Standard lead 2 rhythm strip prior to surgery. Note sinus bradycardia characteristic of this syndrome: QT interval is prolonged to 0.54 sec. CHEST 1978 74, 584-586DOI: (10.1378/chest.74.5.584) Copyright © 1978 The American College of Chest Physicians Terms and Conditions

Figure 2 Intraoperative rhythm strip during manipulation of left stellate ganglion showing numerous premature ventricular beats of varied origin and run of ventricular tachycardia; ectopy ceased when manipulation ended. CHEST 1978 74, 584-586DOI: (10.1378/chest.74.5.584) Copyright © 1978 The American College of Chest Physicians Terms and Conditions

Figure 3 Standard lead 2 rhythm strip after surgery. Note persistence of sinus bradycardia, but normalization of QT interval. QT has remained normal one year postoperatively. CHEST 1978 74, 584-586DOI: (10.1378/chest.74.5.584) Copyright © 1978 The American College of Chest Physicians Terms and Conditions