Key result
Acute cervical spinal trauma caused autonomic dysfunction leading to widespread ST depressions and prolonged QTc interval, highlighting the need to pay attention to ECG display formats to avoid misinterpretation.
Why the study?
Acute cervical spinal trauma may lead to vital cardiac effects on ECG by influencing cardiac sympathetic preganglionic fibers.
Case Report (n=1)
No
Autonomic dysfunction from acute cervical trauma can cause widespread ST depressions and prolonged QTc, and clinicians must be aware of ECG display formats (like Cabrera) to avoid misinterpretation.
Requires caution interpreting ECGs in acute cervical trauma; case report leaves open display format effects on misdiagnosis.
BACKGROUND: Acute cervical spinal trauma may lead to cardiac effects by influencing cardiac sympathetic preganglionic fibers. Some of these effects, which are vital, may occur in ECG. CASE PRESENTATION: A 52-year-old female patient admitted to the emergency department with acute traumatic spondylolisthesis at C6-C7 level and paraplegia. Positive QRS complex, ST segment depressions and prolongation of QTc interval were observed on ECG according to sudden autonomic disruption because of sympathetic nerve compression. It was mentioned that changes in QRS complex axis was normal which was dependent to the ECG display format of Cabrera sequence used differently from the classical system. After surgical correction, evident ST depressions were recovered and QTc intervalwas narrowed but still prolonged in control ECG. CONCLUSIONS: Autonomic dysfunction can lead to extraordinary electrocardiographic presentation including widespread ST depressions with prolonged QTc interval. However, when evaluating the changes in the ECG, attention should be paid to ECG display format to avoid errors in interpretation.
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Karacali et al. (2022) conducted a case report in Acute traumatic spondylolisthesis (n=1). Acute cervical spinal trauma was evaluated on Electrocardiographic changes. Acute cervical spinal trauma caused autonomic dysfunction leading to widespread ST depressions and prolonged QTc interval, highlighting the need to pay attention to ECG display formats to avoid misinterpretation.
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