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Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters?
BACKGROUND & OBJECTIVES: Hyperhidrosis is a pathologic condition of excessive sweating in amounts greater than physiologic needs. Endoscopic thoracic sympathectomy (ETS) is a globally accepted treatment modality for primary palmar and axillary hyperhidrosis. ETS also has distinctive effects on t...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663164/ https://www.ncbi.nlm.nih.gov/pubmed/28862182 http://dx.doi.org/10.4103/ijmr.IJMR_1133_14 |
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author | Candas, Fatih Isilak, Zafer Yildizhan, Akin Uz, Omer Yalcin, Murat Gorur, Rauf Isitmangil, Turgut |
author_facet | Candas, Fatih Isilak, Zafer Yildizhan, Akin Uz, Omer Yalcin, Murat Gorur, Rauf Isitmangil, Turgut |
author_sort | Candas, Fatih |
collection | PubMed |
description | BACKGROUND & OBJECTIVES: Hyperhidrosis is a pathologic condition of excessive sweating in amounts greater than physiologic needs. Endoscopic thoracic sympathectomy (ETS) is a globally accepted treatment modality for primary palmar and axillary hyperhidrosis. ETS also has distinctive effects on the heart, circulatory and respiratory systems. In this study early effects of ETS on electrocardiographic (ECG) parameters of hyperhidrosis patients were evaluated. METHODS: Twelve-lead ECGs were performed on 72 patients who were free from cardiovascular, metabolic, neurological and pulmonary diseases and underwent planned ETS because of hyperhidrosis, before and after the procedure within the first 24 h. Heart rate (HR), PR, QT, corrected QT (QTc), QTc/Tpeak-Tend (TpTe) intervals, P-wave and QTc/TpTe dispersions were compared by ECG. RESULTS: A total of 72 patients (24.1±6.0 yr, 17 female) were included in the study. The pre-operative HR of patients was significantly higher than post-operative HR of patients (73.8±12.8 vs. 68.1±12.6 beats/ min; P<0.001). The QTc dispersion (QTcd) durations of pre-operative patients were significantly longer than those of post-operative patients (51.5±6.3 vs. 44.9±5.6 msec; P<0.01). The TpTe dispersion value of pre-operative patients was significantly (P<0.001) higher than that of post-operative patients. INTERPRETATION & CONCLUSIONS: Our study showed that ETS through clipping procedure had positive effects on the mechanisms of arrhythmia by reducing HR, QTcd, TpTe and TpTe dispersion parameters of ECG in early periods in hyperhidrosis patients. |
format | Online Article Text |
id | pubmed-5663164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56631642017-11-02 Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? Candas, Fatih Isilak, Zafer Yildizhan, Akin Uz, Omer Yalcin, Murat Gorur, Rauf Isitmangil, Turgut Indian J Med Res Original Article BACKGROUND & OBJECTIVES: Hyperhidrosis is a pathologic condition of excessive sweating in amounts greater than physiologic needs. Endoscopic thoracic sympathectomy (ETS) is a globally accepted treatment modality for primary palmar and axillary hyperhidrosis. ETS also has distinctive effects on the heart, circulatory and respiratory systems. In this study early effects of ETS on electrocardiographic (ECG) parameters of hyperhidrosis patients were evaluated. METHODS: Twelve-lead ECGs were performed on 72 patients who were free from cardiovascular, metabolic, neurological and pulmonary diseases and underwent planned ETS because of hyperhidrosis, before and after the procedure within the first 24 h. Heart rate (HR), PR, QT, corrected QT (QTc), QTc/Tpeak-Tend (TpTe) intervals, P-wave and QTc/TpTe dispersions were compared by ECG. RESULTS: A total of 72 patients (24.1±6.0 yr, 17 female) were included in the study. The pre-operative HR of patients was significantly higher than post-operative HR of patients (73.8±12.8 vs. 68.1±12.6 beats/ min; P<0.001). The QTc dispersion (QTcd) durations of pre-operative patients were significantly longer than those of post-operative patients (51.5±6.3 vs. 44.9±5.6 msec; P<0.01). The TpTe dispersion value of pre-operative patients was significantly (P<0.001) higher than that of post-operative patients. INTERPRETATION & CONCLUSIONS: Our study showed that ETS through clipping procedure had positive effects on the mechanisms of arrhythmia by reducing HR, QTcd, TpTe and TpTe dispersion parameters of ECG in early periods in hyperhidrosis patients. Medknow Publications & Media Pvt Ltd 2017-04 /pmc/articles/PMC5663164/ /pubmed/28862182 http://dx.doi.org/10.4103/ijmr.IJMR_1133_14 Text en Copyright: © 2017 Indian Journal of Medical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Candas, Fatih Isilak, Zafer Yildizhan, Akin Uz, Omer Yalcin, Murat Gorur, Rauf Isitmangil, Turgut Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
title | Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
title_full | Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
title_fullStr | Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
title_full_unstemmed | Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
title_short | Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
title_sort | does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663164/ https://www.ncbi.nlm.nih.gov/pubmed/28862182 http://dx.doi.org/10.4103/ijmr.IJMR_1133_14 |
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