Cardiac arrest attributable to dysfunction of the autonomic nervous system after traumatic cervical spinal cord injury
| Autor: | Kyungil Kim, Chan Joo Park, Sei Won Kim, Yoon-Chung Kim |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Bradycardia Cord medicine.medical_treatment Parasympathetic nervous system Case Report 030204 cardiovascular system & hematology Cardiac massage Cardiac pacemaker 03 medical and health sciences 0302 clinical medicine Spinal cord injuries medicine Humans Orthopedics and Sports Medicine Spinal cord injury lcsh:R5-920 business.industry Heart arrest medicine.disease Intensive Care Units Autonomic nervous system Autonomic Nervous System Diseases Anesthesia Sympathetic nervous system Cervical spinal cord injury cardiovascular system Surgery medicine.symptom Tomography X-Ray Computed lcsh:Medicine (General) Hypoactivity business 030217 neurology & neurosurgery |
| Zdroj: | Chinese Journal of Traumatology, Vol 20, Iss 2, Pp 118-121 (2017) Chinese Journal of Traumatology |
| ISSN: | 1008-1275 |
| DOI: | 10.1016/j.cjtee.2016.11.004 |
| Popis: | 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 C 6–7 bilateral articular facets, and cord contusion with hemorrhage was evident at C 4–7 . 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. |
| Databáze: | OpenAIRE |
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