http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11341096&dopt=Abstract

1: Pacing Clin Electrophysiol. 2001 Apr;24(4 Pt 1):524-5.  Related Articles, Links  


Bradycardia and permanent pacing after bilateral thoracoscopic T2-sympathectomy for primary hyperhidrosis.

Lai CL, Chen WJ, Liu YB, Lee YT.

Department of Emergency Medicine, National Taiwan University, 7 Chung-Shan South Rd., Taipei 10016 Taiwan.

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.

Publication Types: 
Case Reports

PMID: 11341096 [PubMed - indexed for MEDLINE] 
