{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T10:30:33Z","timestamp":1785148233185,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Considering the anatomy, physiology, and pathophysiology of the autonomic nervous system of the heart, therapy by means of stellate ganglion block may be a logical additional treatment option in certain cases of heart rhythm disorders. A woman in her late 60s presented with sustained paroxysmal supraventricular tachycardia and a heart rate of 170 beats per minute that had persisted for 2\u2009h despite performing vagal maneuvers and orally administering 40\u2009mg of verapamil. She had a history of several episodes of paroxysmal supraventricular tachycardia with spontaneous conversion. We performed a stellate ganglion block with 3\u2009mL of 1% procaine. One minute later, the paroxysmal supraventricular tachycardia converted into a normal sinus rhythm. Since then (i.e. since 5 years), the patient has not experienced any further episodes of tachycardia. In addition to various other pathomechanisms of paroxysmal supraventricular tachycardia, neuroplastic and neurogenic inflammatory processes play a role, in which the sympathetic nervous system contributes to pathological positive feedback loops. Stellate ganglion block interrupts these feedback loops, allowing the autonomic nervous system to reorganize and achieve a better balance. This could exert a favorable effect on recurrences of heart rhythm disorders (\u201clearning effect\u201d). Stellate ganglion block via local anesthetics is a simple, safe, and virtually side effect-free procedure to terminate treatment-refractory paroxysmal supraventricular tachycardia. Further studies are needed to confirm these results.<\/jats:p>","DOI":"10.1177\/03000605251363527","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T12:20:24Z","timestamp":1754914824000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Conversion of sustained supraventricular tachycardia into sinus rhythm after stellate ganglion block: A case report and pathophysiological considerations"],"prefix":"10.1177","volume":"53","author":[{"given":"Caroline","family":"Chevalier","sequence":"first","affiliation":[{"name":"University of Bern, Hirslanden Klinik St. Anna, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6809-5550","authenticated-orcid":false,"given":"Lorenz","family":"Fischer","sequence":"additional","affiliation":[{"name":"University of Bern, Practice for Interventional Pain Therapy, Neural Therapy, Internal Medicine, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_3_6_2_2","first-page":"e471\u2013505","article-title":"2015 ACC\/AHA\/HRS guideline for the management of adult patients with supraventricular tachycardia: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society","volume":"133","author":"Page RL","year":"2016","unstructured":"Page RL, Joglar JA, Caldwell MA, et\u00a0al. 2015 ACC\/AHA\/HRS guideline for the management of adult patients with supraventricular tachycardia: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. 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In: Weinschenk S (ed) Handbuch Neuraltherapie \u2013 Diagnostik und Therapie mit Lokalan\u00e4sthetika. Stuttgart: Thieme, 2020, pp. 413\u2013416."},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.autneu.2021.102903"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2024.1453127"},{"key":"e_1_3_6_14_2","first-page":"67","volume-title":"Foundation of morphodynamics in osteopathy. An integrative approach to cranium, nervous system, and emotions","author":"Fischer L.","year":"2017","unstructured":"Fischer L. Physical and neurobiolocial principles. In: Liem T, van de Heede P (eds) Foundation of morphodynamics in osteopathy. An integrative approach to cranium, nervous system, and emotions. 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