• Cardiology in review · Jul 2006

    Case Reports

    Characteristics of patients with cervical spinal injury requiring permanent pacemaker implantation.

    • Andres F Ruiz-Arango, Vincent J B Robinson, and Gyanendra K Sharma.
    • Medical College of Georgia, Augusta, Georgia 30912, USA. ararango@mcg.edu
    • Cardiol Rev. 2006 Jul 1;14(4):e8-e11.

    AbstractAcute cervical spinal cord injury frequently results in bradydysrhythmia, which may lead to hypotension and asystole. Such symptoms are more common in the first 2 weeks after the injury. Treatment modalities include atropine, epinephrine, aminophylline, and pacemaker insertion. The criteria for pacemaker use in this population are not well defined. We describe characteristics of 3 patients who required permanent, transvenous pacemaker implantation for recurrent symptoms. In 2 of the 3 patients, transcutaneous pacing failed to provide adequate protection. Transcutaneous pacemakers are not reliable, as was the case of these patients, and early consideration for transvenous pacemaker insertion may be indicated, especially in hemodynamically unstable patients. In this report, all 3 patients required permanent pacemaker implantation.

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