Cardiopulmonary effects following endoscopic thoracic sympathectomy for primary hyperhidrosis☆

Cruz, Jorge; Fonseca, Manuel; Pinto, Fausto J.; Oliveira, António G.; Carvalho, Lopo

doi:10.1016/j.ejcts.2009.03.059

Cited by 14 publications

(9 citation statements)

References 22 publications

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“…ETS also results in partial cardiac sympathetic denervation with ensuing bradycardia14. This might have had a negative impact on physical performance, but very few of the 1700 respondents commented on reduced stamina or low pulse rate in the free‐text comments.…”

Section: Discussionmentioning

confidence: 99%

Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing

Smidfelt

Drott

2011

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing

Smidfelt

Drott

2011

British Journal of Surgery

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“…Cruz, et al13 observed a statistically significant decrease in forced expiratory flow,14 airway resistance in small airways, an increase in residual volume, and a significant decrease in heart rate and ejection fraction, even though the parameters were all in normal ranges. Nakamura, et al15 verified that HR and arterial blood pressure decreased at rest and during submaximal treadmill exercise after R2-R3 endoscopic transthoracic sympathotomy.…”

Section: Discussionmentioning

confidence: 96%

The Effects of Thoracic Sympathotomy on Heart Rate Variability in Patients with Palmar Hyperhidrosis

Zhang

Wang

2012

Yonsei Med J

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PurposeTo observe the evolution of heart rate variability (HRV) in patients with palmar hyperhidrosis before and after endoscopic thoracic sympathotomy and to evaluate the effects of the surgery on the autonomic nervous system.Materials and MethodsEndoscopic thoracic sympathotomy was performed on 20 patients with palmar hyperhidrosis. The thoracic sympathetic chain at the level of the third to fourth rib (R3-R4) was transected, but the ganglia were left in position without removal. A slightly larger ramus, in comparison to the other rami, that arose laterally from the sympathetic chain was interrupted to achieve adequate sympathetic denervation of the upper extremity. Before and on the day after the surgery, 24-hour Holter Electrocardiograph was performed, obtaining time domain and frequency domain parameters.ResultsCompared with preoperative variables, there was a significant increase in the number of adjacent normal R wave to R wave (R-R) intervals that differed by more than 50 ms, as percent of the total number of normal RR intervals (pNN50); root mean square difference, the square root of the mean of the sum of squared differences between adjacent normal RR intervals over the entire 24-hour recording; standard deviation of the average normal RR interval for all 5-minute segments of a 24-hour recording (SDANN) after thoracic sympathotomy. Low frequencies (LF, 0.04 to 0.15 Hz) decreased significantly. There was no statistical difference in high frequencies (HF, 0.15 to 0.40 Hz), LF/HF ratio (LF/HF), or standard deviation for all normal RR intervals for the entire 24-h recording (SDNN) before and after thoracic sympathotomy.ConclusionThere was a significant improvement in HRV in patients with palmar hyperhidrosis after thoracic sympathotomy. This may be attributable to an improvement autonomic nervous system balance and parasympathetic predominance in the early postoperative stage.

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“…Endoscopic upper-thoracic sympathectomy has been considered the treatment of choice for primary palmar hyperhidrosis [2]. This surgery is a minimal invasive procedure of thoracic sympathetic blockage and consists of the bilateral ablation of the second and third thoracic sympathetic ganglia, affecting the sympathetic nervous outflow to the arms and elsewhere [3][4].…”

Section: Introductionmentioning

confidence: 99%

“…To show the increase of the quality of life and the incidence of complications and side effects after the surgery, this paper shows the analysis of data collected from 227 patients. Although several studies have been conducted in order to evaluate the improvement in the patients' health condition [1][2][3][4][5][6], the analysis presented in this paper exploits a new perspective in data analysis, using business intelligence concepts and applying business intelligence techniques to store, analyze and report the several findings. A business intelligence system was specifically developed for this study.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Quality of Life after an Endoscopic Thoracic Sympathectomy: A Business Intelligence Approach

Gonçalves

Santos

Cruz

2010

2010 Second International Conference on Advances in Databases, Knowledge, and Data Applications

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Primary hyperhidrosis, a disorder characterized by an excessive sweating, has been treated by endoscopic thoracic sympathectomy. As a consequence of the surgery, patients improved their overall quality of life. Their day-by-day activities are not affected, or are less affected, by this disorder, and their emotional state verifies a significant improvement, from a situation of shame and self-punishing to what we could say a normal life. This paper presents the analysis of the quality of life of 227 patients that were treated by an endoscopic thoracic sympathectomy. The study was based on the use of business intelligence technologies, which allowed the storage, the analysis and the reporting of all the relevant findings. In technological terms, this paper illustrates the database and data analysis developments needed in a specific healthcare application domain. For data storage, a data mart was designed addressing the relevant attributes. For data analysis, on-line analytical processing and data mining technologies were used to show the evolution of the patients' health condition and the incidence of complications or side effects as consequence of the surgery.

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Cardiopulmonary effects following endoscopic thoracic sympathectomy for primary hyperhidrosis☆

Cited by 14 publications

References 22 publications

Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing

Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing

The Effects of Thoracic Sympathotomy on Heart Rate Variability in Patients with Palmar Hyperhidrosis

Analysis of the Quality of Life after an Endoscopic Thoracic Sympathectomy: A Business Intelligence Approach

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