ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Abraham, P.
Right arrow Articles by Enon, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Abraham, P.
Right arrow Articles by Enon, B.
Related Collections
Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2002;74:2076-2081
© 2002 The Society of Thoracic Surgeons

Original article: general thoracic

Holter changes resulting from right-sided and bilateral infrastellate upper thoracic sympathectomy

Pierre Abraham, MD, PhDc*, Jean Berthelot, MDa, Jacques Victor, MDb, Jean-Louis Saumet, MD, PhDc, Jean Picquet, MDc, Bernard Enon, MDa

a department of Cardiovascular and Thoracic Surgery, University Hospital, Angers, France
b department of Cardiology, University Hospital, Angers, France
c department of Vascular Investigation and Sports Medicine, University Hospital, Angers, France

Accepted for publication July 22, 2002.

* Address reprint requests to Dr Abraham, Laboratory for Vascular Investigation and Sports Medicine, Angers University Hospital, 4 rue Larrey, 49033 Angers Cedex 01, France.
e-mail: piabraham{at}chu-angers.fr

BACKGROUND: We tested the hypothesis that no right-sided dominance exists after infrastellate surgical upper-thoracic sympathectomy. We aimed to confirm whether a significant bradycardia was constant and only dependent on the right side.

METHODS: We performed 24-hour Holter electrocardiographic recordings in 12 patients referred for bilateral sympathectomy. Surgery was performed at two distinct times allowing for the study of the consequences of unilateral right and bilateral sympathectomy.

RESULTS: Heart rate was 77 ± 8 beats per minute before surgery on the 24-hour recording and significantly decreased after bilateral (67.8 ± 6.5 beats per minute; p < 0.05) but not after unilateral right sympathectomy. Consistently spectral analysis variables significantly changed after bilateral surgery but showed no right-sided dominance. Little effect of sympathectomy was found on the QT interval, which tended to decrease after bilateral sympathectomy.

CONCLUSIONS: Patients should be informed of the bradycardia resulting from sympathectomy. No right-sided dominance can be found consistently with the random distribution of substellate cardiac fibers reported in anatomic studies.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Cruz, J. Sousa, A. G. Oliveira, and L. Silva-Carvalho
Effects of endoscopic thoracic sympathectomy for primary hyperhidrosis on cardiac autonomic nervous activity.
J. Thorac. Cardiovasc. Surg., March 1, 2009; 137(3): 664 - 669.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2002 by The Society of Thoracic Surgeons.