Bradycardia and Permanent Pacing After Bilateral Thoracoscopic T2‐Sympathectomy for Primary Hyperhidrosis
- 1 April 2001
- journal article
- case report
- Published by Wiley in Pacing and Clinical Electrophysiology
- Vol. 24 (4) , 524-525
- https://doi.org/10.1046/j.1460-9592.2001.00524.x
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.Keywords
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