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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 Dans Anglais | 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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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Maladies du système nerveux autonome / Traumatismes de la moelle épinière / Tomodensitométrie / Arrêt cardiaque / Unités de soins intensifs Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Chinese Journal of Traumatology Année: 2017 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Maladies du système nerveux autonome / Traumatismes de la moelle épinière / Tomodensitométrie / Arrêt cardiaque / Unités de soins intensifs Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Chinese Journal of Traumatology Année: 2017 Type: Article