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The American surgeon · Jun 2006
Recurrent asystole resulting from high cervical spinal cord injuries.
- D L Franga, M L Hawkins, R S Medeiros, and D Adewumi.
- Medical College of Georgia, Augusta 30912, USA.
- Am Surg. 2006 Jun 1;72(6):525-9.
AbstractCervical spinal cord injury is a highly morbid condition frequently associated with cardiovascular instability. This instability may include bradyarrhythmias, as well as hypotension, and usually resolves in a relatively short time. However, over a 3-year period (January 2003-December, 2005), 5 of 30 patients with complete cervical spinal cord injuries seen at our Level I trauma center required placement of permanent cardiac pacemakers for recurrent bradycardia/asystolic events. Strong consideration for pacemaker placement should be given for those spinal cord-injured patients with symptomatic bradyarrhythmic events still occurring 2 weeks after injury.
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