PURPOSE: There are number of reports regarding the cardiovascular compromises in acute spinal cord injury. Among them spinal shock and neurogenic shock being the most common one. Few reports discussed the significance of Brady arrthymias in spinal cord injury. The purpose of the study is to see the incidence of brady arrythmia in our spinal cord injuries and intervention.
METHODS: Patients data were reviewed from trauma registry and medical records who sustained acute spinal cord injuries and had significant bradyarrythmias (heart rate < 60/min with more than 3 second asystole pauses.) Those patients required pacemaker intervention for the management of bradyarrythmias.
RESULTS: From January 2002 through May 2005, 3841 patients were brought to the trauma room in level II trauma center. Eighty six (2.23%) patients had spinal cord injuries. Forty one out of 86 (48%) patients had associated vertebral fracture. Thirty seven out of 41 (90%) of them had blunt injury and 4 out of 41 (10%) had penetrating injuries. Fifty one (52%) had spinal cord injuries without the vertebrae fractures. Four out of 86 (4.6%) patients with spinal cord injuries developed recurrent significant bradyarrythmias during their intensive care unit (ICU) observation. Those patients needed pacemaker intervention for alleviation of symptoms.All four patients had cervical spinal cord injuries with quadriplegia. Patient’s demography and clinical is illustrated in table 1.
CONCLUSION: Patients with cervical spinal cord injuries may develop significant bradyarrythmias.
CLINICAL IMPLICATIONS: Higher spinal cord injury patients need to be monitored closely for bradyarrythmias and timely intervention is needed to alleviate the symptoms.
DISCLOSURE: Alfonso Castro, None.