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Cardiac arrest attributable to dysfunction of the autonomic nervous system after traumatic cervical spinal cord injury / 中华创伤杂志(英文版)
Chinese Journal of Traumatology ; (6): 118-121, 2017.
Article in English | WPRIM | ID: wpr-330440
ABSTRACT
Bradycardia is the most common form of dysrhythmia developing after disruption of the sympathetic pathway by a spinal cord injury (SCI), and it can have fatal consequences, including cardiac arrest. Here, we report a case of cardiac arrest developing after cervical SCI attributable to sympathetic hypoactivity. A 26-year-old male pedestrian was admitted after a traffic accident. Radiologically, fractures were apparent at the Cbilateral articular facets, and cord contusion with hemorrhage was evident at C. During his stay in ICU, intermittent bradycardia was noted, but the symptoms were not specific. On the 22nd postoperative day, the patient was taken to the computed tomography suite for further evaluation and experienced cardiac arrest during a positional change. After immediate cardiac massage, the patient was resuscitated. We scheduled Holter monitoring, which detected 26 pauses, the longest of which was 17.9 s. The patient underwent cardiac pacemaker insertion. No further cardiac events were noted.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Autonomic Nervous System Diseases / Spinal Cord Injuries / Tomography, X-Ray Computed / Heart Arrest / Intensive Care Units Limits: Adult / Humans / Male Language: English Journal: Chinese Journal of Traumatology Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Autonomic Nervous System Diseases / Spinal Cord Injuries / Tomography, X-Ray Computed / Heart Arrest / Intensive Care Units Limits: Adult / Humans / Male Language: English Journal: Chinese Journal of Traumatology Year: 2017 Type: Article