In an attempt to control his hypertension, bilateral syrnpathectomy was performed in 1968. Following this procedure, the patient's hypertension improved, but his symptoms exacerbated. His lassitude and dyspnea on exertion increased and, in addition, he had frequent episodes of angina pectoris. He also complained of severe palpitations and dizziness during physical activity. It is noteworthy that following the initial episode of chest pain in 1984, the patient had been free of any form of chest discomfort until after the sympathectomy.
The history of this patient seems particularly noteworthy in that his symptoms became worse after bilateral sympathectomy and subsequent improvement in the control of his hypertension. When the blood pressure became lower, the dyspnea on exertion worsened, angina pectoris appeared and dizziness on physical activity was noted for the first time.
DOI 10.1378/chest.57.1.87 1970;57;87-90
Chest
Eduardo Moreyra, Pieter Knibbe and Albert N. Brest
Hypertension and Muscular Subaortic Stenosis