Bradycardia and Permanent Pacing After Bilateral Thoracoscopic T2-Sympathectomy for Primary Hyperhidrosis
Article first published online: 22 JUL 2003
© Futura Publishing Company, Inc. 2001
Pacing and Clinical Electrophysiology
Volume 24, Issue 4, pages 524–525, April 2001
How to Cite
LAI, C.-L., CHEN, W.-J., LIU, Y.-B. and LEE, Y.-T. (2001), Bradycardia and Permanent Pacing After Bilateral Thoracoscopic T2-Sympathectomy for Primary Hyperhidrosis. Pacing and Clinical Electrophysiology, 24: 524–525. doi: 10.1046/j.1460-9592.2001.00524.x
- Issue published online: 22 JUL 2003
- Article first published online: 22 JUL 2003
- Received September 26, 2000; revised November 17, 2000; accepted December 14, 2000.
- Cited By
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.