Side effects of Sympathetic Block (ESB)
Functional changes of the heart:
-Resting pulse is lowering 10-20% and it stays a little lower level than before ESB
-Tendency for palpitations is lowering
-Maximal pulse is lowering and therefore some tiredness can be found during first months
-Heart`s beating volume increases and this is the reason for lowering of the pulse
-Blood pressure is lowering 10-20%
-Arythmia and tendency for atrial fibrillation diminishes
-Circulation of coronary arteries increases and therefore the risk for heart infarct and sudden death related to heart diseases diminishes
Other side effects:
-The hands and the face may get drier
-Greasy of hair diminishes
-Compensatory sweating increases in 20-30% of the patients and is mostly well bearable. If compensatory sweating is too severe, clips should be removed during 1-2 months
When ESB is done against facial sweating, hands sweating or axillary sweating it is important to do block to the lower level:
-ESB3 against Facial sweating
-ESB4 against hands sweating or axillary sweating