A novel finding in thoracic outlet syndrome: tachycardia.
In this case report, we rendered a 22 year old woman with the diagnosis of neurogenic thoracic outlet syndrome. We have evaluated her symptoms of palpitation with Holter monitorization during Roos test before and after surgery where transaxillary first rib resection and scalenectomy were performed. Postoperatively she improved and the tachycardia resolved. We propose that stellate ganglion or postganglionic efferent sympathetic fibers forming the cardiac plexus are exposed to compression while Roos test is being performed. Due to this irritation, there can be an increase in the cardiac sympathetic activity.
Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, Turkey.
Bayram
B
Kaymak
Levent
L
Ozçakar
Ali Kemal
AK
Oğuz
Murat
M
Arsava
Cağdaş
C
Ozdöl
D000328:Adult; D015716:Electrocardiography, Ambulatory; D004576:Electromyography; D005260:Female; D006801:Humans; D013610:Tachycardia / Q000175:diagnosis / Q000209:etiology*; D013901:Thoracic Outlet Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome