Life Threatening Bradycardia Requiring Temporary Transvenous Pacemaker in Spinal Cord Injury

Authors

  • Murathan Küçük akdeniz unıversity medical school
  • Can Ramazan Öncel ATATÜRK STATE HOSPİTAL
  • Mustafa Uçar akdeniz unıversity medical school
  • Aytül Belgi Yıldırım akdeniz unıversity medical school

Abstract

Spinal cord injury (SCI) is a real health problem and  cardiovascular disorders are the most common cause of mortality in SCI. Bradycardia  in patients with spinal cord injury is related with autonomic instability and may be resistant to pharmacologic therapy. In this study, we report a case of life threatening bradycardia requiring temporary transvenous pace maker implantation in spinal cord injury. Placement of a temporary  transvenous pace maker can be life saving in acute phase in spinal cord injury  and all patients with spinal cord injury regardless of the level and severity should be closely monitored .

References

McKinley W, Garstang SV, Wieting JM, Talavera F, Foye PM, Allen KL, et al. Cardiovascular concerns in spinal cord injury. eMedicine Specialties/Physical Medicine and Rehabilitation/Spinal Cord Injury. 2006.

Claydon VE, Steeves JD, Krassioukov AV. Orthostatic hypertension following spinal cord injury: understanding clinical pathophysiology. Spinal Cord.2006; 44: 341-51.

Devivo MJ, Krause JS, Lammertse DP. Recent trends in mortality and causes of death among persons with spinal cord injury. Arch Phys Med Rehabil. 1999; 80: 1411-9.

Singh A, Garg R, Weachter R. Cardiac bradyarrhythmias in a patient with cervical spine injury. Am Heart Hosp J. 2010; 8 :63-5.

Peyrol M, Sbragia P, Trigano JA, Paganelli F. Dorsal spinal cord injury as a cause of recurrent asystole requiring permanent cardiac pacing. Europace . 2012;14 :146-7.

A G Abd , N M Braun .Management of life-threatening bradycardia in spinal cord injury. Chest.1989; 95:701-2.

Schulz-Stübner S. The use of small-dose theophylline for the treatment of bradycardia in patients with spinal cord injury.Anesth Analg. 2005 ;101 :1809–11.

Partida E, Mironets E, Hou S, Tom VJ. Cardiovascular dysfunction following spinal cord injury. Neural Regen Res. 2016 ; 11 :189-94.

Silbert PL, Davis JM. Late asystole in high cervical spinal cord injury: case report. Paraplegia. 1990 ; 28 :137-40.

Moerman JR, Christie B 3rd, Sykes LN, Vogel RL, Nolan TL, Ashley DW. Early cardiac pacemaker placement for life-threatening bradycardia in traumatic spinal cord injury. J Trauma. 2011 ;70 :1485-8.

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Published

26.12.2016