Key result
Among 30 patients with complete cervical spinal cord injuries, 16.7% (5 patients) required permanent cardiac pacemakers for recurrent bradycardia or asystolic events.
Why the study?
What proportion of patients with complete cervical spinal cord injuries require permanent cardiac pacemakers for recurrent bradycardia or asystole?
Observational (n=30)
No
What proportion of patients with complete cervical spinal cord injuries require permanent cardiac pacemakers for recurrent bradycardia or asystole?
A notable proportion of patients with complete cervical spinal cord injuries may experience recurrent symptomatic bradyarrhythmic events requiring permanent pacemaker placement.
Answers are grounded in this paper and cite their sources.
May warrant monitoring for recurrent bradycardia in complete cervical SCI; leaves open true incidence and optimal management.
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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Franga et al. (2006) conducted an observational in Complete cervical spinal cord injuries (n=30). Complete cervical spinal cord injury was evaluated on Placement of permanent cardiac pacemakers for recurrent bradycardia/asystolic events. Among 30 patients with complete cervical spinal cord injuries, 16.7% (5 patients) required permanent cardiac pacemakers for recurrent bradycardia or asystolic events.
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