| Effect of thoracic sympathectomy on arm and leg exercise capacity and on lung function. | |
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MedLine Citation:
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PMID: 10940790 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Thoracic T(2-4) sympathectomy (TS) relieves palmar hyperhidrosis. These same roots innervate the heart and the lung. Thoracoscopic TS minimizes damage to the chest wall so that the effect of sympathectomy itself on these organs can be studied. We attempted to determine whether attenuated sympathetic output affects arm or leg exercise tolerance and lung function in young adults who underwent this operation. METHODS: Seven subjects, aged 17-30 years, had lung function tests (water spirometer, Godart, Holland), and leg and arm maximal exercise (CPX, MedGraphics, USA), before and 3-6 months after TS. RESULTS: After TS, resting and exercise heart rate and blood pressure were reduced. Baseline leg and arm peak O(2) uptake, 2.08 (0.6) and 1.44 (0.5) liters/min, respectively, were not different from the post-TS values, 2.06 (0.7) and 1.54 (0.5) liters/min (nonsignificant). Post-TS lung functions were not significantly reduced. CONCLUSION: Thoracoscopic T(2-4) sympathectomy does not lead to a clinically important fall in lung function and does not compromise arm or leg exercise capacity. Therefore, TS can be done safely in young subjects with palmar hyperhidrosis. |
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Authors:
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I Ben-Dov; N Chorney; M Gaides; D Shachor |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Respiration; international review of thoracic diseases Volume: 67 ISSN: 0025-7931 ISO Abbreviation: Respiration Publication Date: 2000 |
Date Detail:
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Created Date: 2000-09-20 Completed Date: 2000-09-20 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0137356 Medline TA: Respiration Country: SWITZERLAND |
Other Details:
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Languages: eng Pagination: 378-82 Citation Subset: IM |
Copyright Information:
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Copyright 2000 S. Karger AG, Basel |
Affiliation:
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Pulmonary Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel. bendovi@post.tau.ac.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arm / physiopathology* Hand Hemodynamics / physiology Humans Hyperhidrosis / physiopathology, surgery Leg / physiopathology* Lung / physiology* Oxygen Consumption / physiology Physical Endurance / physiology* Spinal Nerve Roots / surgery Sympathectomy* Thorax / innervation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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