Recurrent Asystole Resulting from High Cervical Spinal Cord Injuries

Franga, D. L.; Hawkins, M. L.; Medeiros, R. S.; Adewumi, D.
June 2006
American Surgeon;Jun2006, Vol. 72 Issue 6, p525
Academic Journal
Cervical 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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