Characteristics of patients with cervical spinal injury requiring permanent pacemaker implantation

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Acute cervical spinal cord injury frequently results in bradydysrhythmia, which may lead to hypotension and asystole. Such symptoms are more common in the first 2 weeks after the injury. Treatment modalities include atropine, epinephrine, aminophylline, and pacemaker insertion. The criteria for pacemaker use in this population are not well defined. We describe characteristics of 3 patients who required permanent, transvenous pacemaker implantation for recurrent symptoms. In 2 of the 3 patients, transcutaneous pacing failed to provide adequate protection. Transcutaneous pacemakers are not reliable, as was the case of these patients, and early consideration for transvenous pacemaker insertion may be indicated, especially in hemodynamically unstable patients. In this report, all 3 patients required permanent pacemaker implantation.

Original languageEnglish (US)
JournalCardiology in Review
Volume14
Issue number4
DOIs
StatePublished - Jul 1 2006

Fingerprint

Spinal Injuries
Aminophylline
Heart Arrest
Spinal Cord Injuries
Atropine
Hypotension
Epinephrine
Wounds and Injuries
Population

Keywords

  • Bradycardia
  • Cervical spinal trauma
  • Pacemaker implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Characteristics of patients with cervical spinal injury requiring permanent pacemaker implantation. / Ruiz-Arango, Andres F.; Robinson, Vincent Jb; Sharma, Gyanendra Kumar.

In: Cardiology in Review, Vol. 14, No. 4, 01.07.2006.

Research output: Contribution to journalArticle

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