OBJECTIVE: Cardiovascular complications including cardiac arrest and arrhythmias remain a clinical challenge in the management of acute traumatic spinal cord injury (SCI). Still, there is a lack of knowledge regarding the characteristics of arrhythmias in patients with acute traumatic SCI. The aim of this prospective observational study was to investigate the occurrence of cardiac arrhythmias and cardiac arrests in patients with acute traumatic SCI. METHODS: As early as possible after SCI 24-hour Holter monitoring was performed. Additional Holter recordings were performed 1, 2, 3, and 4 weeks after SCI. Furthermore, 12-lead electrocardiograms (ECGs) were obtained shortly after SCI and at 4 weeks. RESULTS: Thirty patients were included. Bradycardia (heart rate (HR) <50 b.p.m.) was present in 17-35% of the patients with cervical (C1-C8) SCI (n = 24) within the first 14 days. In the following 14 days, the occurrence was 22-32%. Bradycardia in the thoracic (Th1-Th12) SCI group (n = 6) was present in 17-33% during the observation period. The differences between the two groups were not statistically significant. The mean minimum HR was significantly lower in the cervical group compared with the thoracic group both on 12-lead ECGs obtained shortly after SCI (P = 0.030) and at 4 weeks (P = 0.041). CONCLUSION: Many patients with cervical SCI experience arrhythmias such as bradycardia, sinus node arrest, supraventricular tachycardia, and more rarely cardiac arrest the first month after SCI. Apart from sinus node arrests and limited bradycardia, no arrhythmias were seen in patients with thoracic SCI. Standard 12-lead ECGs will often miss the high prevalence these arrhythmias have.
OBJECTIVE: Cardiovascular complications including cardiac arrest and arrhythmias remain a clinical challenge in the management of acute traumatic spinal cord injury (SCI). Still, there is a lack of knowledge regarding the characteristics of arrhythmias in patients with acute traumatic SCI. The aim of this prospective observational study was to investigate the occurrence of cardiac arrhythmias and cardiac arrests in patients with acute traumatic SCI. METHODS: As early as possible after SCI 24-hour Holter monitoring was performed. Additional Holter recordings were performed 1, 2, 3, and 4 weeks after SCI. Furthermore, 12-lead electrocardiograms (ECGs) were obtained shortly after SCI and at 4 weeks. RESULTS: Thirty patients were included. Bradycardia (heart rate (HR) <50 b.p.m.) was present in 17-35% of the patients with cervical (C1-C8) SCI (n = 24) within the first 14 days. In the following 14 days, the occurrence was 22-32%. Bradycardia in the thoracic (Th1-Th12) SCI group (n = 6) was present in 17-33% during the observation period. The differences between the two groups were not statistically significant. The mean minimum HR was significantly lower in the cervical group compared with the thoracic group both on 12-lead ECGs obtained shortly after SCI (P = 0.030) and at 4 weeks (P = 0.041). CONCLUSION: Many patients with cervical SCI experience arrhythmias such as bradycardia, sinus node arrest, supraventricular tachycardia, and more rarely cardiac arrest the first month after SCI. Apart from sinus node arrests and limited bradycardia, no arrhythmias were seen in patients with thoracic SCI. Standard 12-lead ECGs will often miss the high prevalence these arrhythmias have.
Authors: Steven C Kirshblum; Stephen P Burns; Fin Biering-Sorensen; William Donovan; Daniel E Graves; Amitabh Jha; Mark Johansen; Linda Jones; Andrei Krassioukov; M J Mulcahey; Mary Schmidt-Read; William Waring Journal: J Spinal Cord Med Date: 2011-11 Impact factor: 1.985
Authors: Andrei V Krassioukov; Ann-Katrin Karlsson; Jill M Wecht; Lisa-Ann Wuermser; Christopher J Mathias; Ralph J Marino Journal: J Rehabil Res Dev Date: 2007
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Authors: Jill M Wecht; Andrei V Krassioukov; Maralee Alexander; John P Handrakis; Stephen L McKenna; Michael Kennelly; Michele Trbovich; Fin Biering-Sorensen; Stephen Burns; Stacy L Elliott; Daniel Graves; James Hamer; Klaus Krogh; Todd A Linsenmeyer; Nan Liu; Ellen Merete Hagen; Aaron A Phillips; Jean-Gabriel Previnaire; Gianna M Rodriguez; Chloe Slocum; James R Wilson Journal: Top Spinal Cord Inj Rehabil Date: 2021
Authors: L Malmqvist; T Biering-Sørensen; K Bartholdy; A Krassioukov; K-L Welling; J H Svendsen; A Kruse; B Hansen; F Biering-Sørensen Journal: Spinal Cord Date: 2014-11-18 Impact factor: 2.772
Authors: Bonnie Legg Ditterline; Shelley Wade; Beatrice Ugiliweneza; Narayana Sarma V Singam; Susan J Harkema; Marcus F Stoddard; Glenn A Hirsch Journal: PLoS One Date: 2020-07-27 Impact factor: 3.240
Authors: Shane J T Balthazaar; Morten Sengeløv; Kim Bartholdy; Lasse Malmqvist; Martin Ballegaard; Birgitte Hansen; Jesper Hastrup Svendsen; Anders Kruse; Karen-Lise Welling; Andrei V Krassioukov; Fin Biering-Sørensen; Tor Biering-Sørensen Journal: J Spinal Cord Med Date: 2021-07-22 Impact factor: 2.040
Authors: Bonnie E Legg Ditterline; Shelley Wade; Beatrice Ugiliweneza; Narayana Sarma Singam; Susan J Harkema; Marcus F Stoddard; Glenn A Hirsch Journal: Front Neurosci Date: 2020-10-22 Impact factor: 4.677