Document Detail

Effect of thoracic sympathectomy on arm and leg exercise capacity and on lung function.
MedLine Citation:
PMID:  10940790     Owner:  NLM     Status:  MEDLINE    
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.
I Ben-Dov; N Chorney; M Gaides; D Shachor
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  67     ISSN:  0025-7931     ISO Abbreviation:  Respiration     Publication Date:  2000  
Date Detail:
Created Date:  2000-09-20     Completed Date:  2000-09-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  378-82     Citation Subset:  IM    
Copyright Information:
Copyright 2000 S. Karger AG, Basel
Pulmonary Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel.
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MeSH Terms
Arm / physiopathology*
Hemodynamics / physiology
Hyperhidrosis / physiopathology,  surgery
Leg / physiopathology*
Lung / physiology*
Oxygen Consumption / physiology
Physical Endurance / physiology*
Spinal Nerve Roots / surgery
Thorax / innervation*

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