Longitudinal follow-up of cardiac vagal activity in individuals undergoing endoscopic thoracic sympathectomy
| Autor: | Edmilton Pereira de Almeida, Plínio dos Santos Ramos, Ana Paula Ferreira, Djalma Rabelo Ricardo, Eveline Montessi Nicolini, Jorge Montessi, Flávia Duarte Montessi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male Longitudinal study Time Factors Adolescent Hiperidrose Exercise test medicine.medical_treatment Rest 030204 cardiovascular system & hematology Teste de esforço 03 medical and health sciences Young Adult Electrocardiography 0302 clinical medicine Heart Conduction System Heart Rate medicine Humans Hyperhidrosis Autonomic nervous system Longitudinal Studies Sympathectomy Child lcsh:RC705-779 medicine.diagnostic_test business.industry Endoscopic thoracic sympathectomy Thoracoscopy Mean age Eletrocardiografia lcsh:Diseases of the respiratory system Middle Aged 030220 oncology & carcinogenesis Anesthesia Sistema nervoso autônomo Female Original Article medicine.symptom business Simpatectomia Follow-Up Studies |
| Zdroj: | Jornal Brasileiro de Pneumologia v.44 n.6 2018 Jornal Brasileiro de Pneumologia Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) instacron:SBPT Jornal Brasileiro de Pneumologia, Vol 44, Iss 6, Pp 456-460 |
| Popis: | Objective: To conduct a longitudinal investigation of cardiac vagal activity (CVA) by measuring resting HR and calculating the cardiac vagal index (CVI) in individuals undergoing sympathectomy for the treatment of primary hyperhidrosis. Methods: This was a descriptive longitudinal study involving 22 patients, 13 of whom were female. The mean age was 22.5 ± 8.8 years. The palms, soles, and axillae were the most commonly affected sites. Resting HR was measured by an electrocardiogram performed 20 min before the 4-second exercise test (4sET), which was used in order to evaluate CVA at three different time points: before surgery, one month after surgery, and four years after surgery. Results: Resting HR (expressed as mean ± SE) was found to have decreased significantly at 1 month after surgery (73.1 ± 1.6 bpm before surgery vs. 69.7 ± 1.2 bpm at one month after surgery; p = 0.01). However, the HR values obtained at four years after surgery tended to be similar to those obtained before surgery (p = 0.31). The CVI (expressed as mean ± SE) was found to have increased significantly at one month after surgery (1.44 ± 0.04 before surgery vs. 1.53 ± 0.03 at one month after surgery; p = 0.02). However, the CVI obtained at four years after surgery tended to be similar to that obtained before surgery (p = 0.10). Conclusions: At one month after sympathectomy for primary hyperhidrosis, patients present with changes in resting HR and CVA, both of which tend to return to baseline at four years after surgery. |
| Databáze: | OpenAIRE |
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