Bradycardia and Permanent Pacing After Bilateral Thoracoscopic T2-Sympathectomy for Primary Hyperhidrosis |
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Authors: | CHAO-LUN LAI WEN-JONE CHEN YEN-BIN LIU YUAN-TEH LEE |
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Institution: | Department of Emergency Medicine, Taipei, Taiwan;, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan |
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Abstract: | LAI, C.-L., et al. : Bradycardia and Permanent Pacing After Bilateral Thoracoscopic T2-Sympathectomy for Primary Hyperhidrosis. 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. |
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Keywords: | bradycardia pacing sympathectomy hyperhidrosis |
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