{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T09:08:14Z","timestamp":1774343294480,"version":"3.50.1"},"reference-count":24,"publisher":"Scientific Scholar","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,4]]},"abstract":"\n Background & objectives:<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 72 patients (24.1\u00b16.0 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\u00b112.8 vs. 68.1\u00b112.6 beats\/ min; P<\/jats:italic><0.001). The QTc dispersion (QTcd) durations of pre-operative patients were significantly longer than those of post-operative patients (51.5\u00b16.3 vs. 44.9\u00b15.6 msec; P<\/jats:italic><0.01). The TpTe dispersion value of pre-operative patients was significantly (P<0.001) higher than that of post-operative patients.<\/jats:p>\n <\/jats:sec>\n \n Interpretation & conclusions:<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_1133_14","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T19:03:11Z","timestamp":1734634991000},"page":"498-502","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters?"],"prefix":"10.25259","volume":"145","author":[{"given":"Fatih","family":"Candas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zafer","family":"Isilak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akin","family":"Yildizhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer","family":"Uz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Yalcin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rauf","family":"Gorur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turgut","family":"Isitmangil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","reference":[{"key":"R1-12-20241212","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1055\/s-0031-1280007","article-title":"Is T3 and T6 sympathetic clipping more effective in primary palmoplantar hyperhydrosis?","volume":"59","author":"Gorur","year":"2011","journal-title":"Thorac Cardiovasc Surg"},{"key":"R2-12-20241212","first-page":"261","article-title":"Right axillary sweating after left thoracoscopic sypathectomy in two-stage surgery","volume":"4","author":"Ozpolat","year":"2013","journal-title":"J Clin Anal Med"},{"key":"R3-12-20241212","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1055\/s-0031-1299573","article-title":"The effects of clipping on thoracic sympathetic nerve in rabbits: Early and late histopathological findings","volume":"60","author":"Candas","year":"2012","journal-title":"Thorac Cardiovasc Surg"},{"key":"R4-12-20241212","doi-asserted-by":"crossref","first-page":"990","DOI":"10.5606\/tgkdc.dergisi.2013.7632","article-title":"Long-term results of bilateral endoscopic thoracic sympathectomy for palmar and axillary hyperhidrosis: An eight-year experience","volume":"21","author":"Dongel","year":"2013","journal-title":"Turk Gogus Kalp Dama"},{"key":"R5-12-20241212","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/s00429-005-0462-1","article-title":"The autonomic nervous system of the human heart with special reference to its origin, course, and peripheral distribution","volume":"209","author":"Kawashima","year":"2005","journal-title":"Anat Embryol (Berl"},{"key":"R6-12-20241212","first-page":"213","article-title":"Cardiac repolarization analysis using the surface electrocardiogram","volume":"367","author":"Pueyo","year":"2009","journal-title":"Philos Trans A Math Phys Eng Sci"},{"key":"R7-12-20241212","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1136\/hrt.71.6.508","article-title":"QT dispersion","volume":"71","author":"Higham","year":"1994","journal-title":"Br Heart J"},{"key":"R8-12-20241212","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.jelectrocard.2008.07.030","article-title":"The meaning of the Tp-Te interval and its diagnostic value","volume":"41","author":"Kors","year":"2008","journal-title":"J Electrocardiol"},{"key":"R9-12-20241212","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1111\/pace.12031","article-title":"Tpeak \u2013 Tend and Tpeak \u2013 Tend \/QT ratio as markers of ventricular arrhythmia risk in cardiac resynchronization therapy patients","volume":"36","author":"Barbhaiya","year":"2013","journal-title":"Pacing Clin Electrophysiol"},{"key":"R10-12-20241212","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.jelectrocard.2008.07.016","article-title":"T(p-e)\/QT ratio as an index of arrhythmogenesis","volume":"41","author":"Gupta","year":"2008","journal-title":"J Electrocardiol"},{"key":"R11-12-20241212","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1111\/j.1540-8159.2010.02973.x","article-title":"Henry Cuthbert Bazett (1885-1950) - 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