Document Detail


Bradycardia and permanent pacing after bilateral thoracoscopic T2-sympathectomy for primary hyperhidrosis.
MedLine Citation:
PMID:  11341096     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 23-year-old woman with craniofacial hyperhidrosis underwent bilateral thoracoscopic T2-sympathectomy. Marked sinus bradycardia with a mean heart rate of 49 beats/min by Holter ECG monitoring occurred after the procedure and persisted for > 2 years. Normal sinus node function was found by an invasive electrophysiological study and unopposed vagotonia after sympathectomy was diagnosed. A permanent pacemaker was implanted. Although reduced heart rate is a common phenomenon after bilateral dorsal sympathectomy, intractable bradycardia with permanent pacing is rare. This patient demonstrates one of the potential cardiac complications of bilateral sympathectomy.
Authors:
C L Lai; W J Chen; Y B Liu; Y T Lee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  24     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-05-08     Completed Date:  2001-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  524-5     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, National Taiwan University, 7 Chung-Shan South Rd., Taipei 10016 Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bradycardia / therapy*
Electrocardiography, Ambulatory
Female
Follow-Up Studies
Heart / innervation
Humans
Hyperhidrosis / surgery*
Pacemaker, Artificial*
Postoperative Complications / therapy*
Sympathectomy*
Thoracoscopy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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