Autor: |
Ana Paula Ferreira, Plinio dos Santos Ramos, Jorge Montessi, Flávia Duarte Montessi, Eveline Montessi Nicolini, Edmilton Pereira de Almeida, Djalma Rabelo Ricardo |
Jazyk: |
English<br />Portuguese |
Předmět: |
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Zdroj: |
Jornal Brasileiro de Pneumologia, Vol 44, Iss 6, Pp 456-460 |
Druh dokumentu: |
article |
ISSN: |
1806-3756 |
DOI: |
10.1590/s1806-37562017000000464 |
Popis: |
ABSTRACT 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: |
Directory of Open Access Journals |
Externí odkaz: |
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