Laura Krisa1,2, Lawrence C Vogel3,4, Jill M Wecht5,6. 1. 1Department of Physical Therapy, Thomas Jefferson University, Philadelphia, PA 19107 USA. 2. 2Department of Research, Shriners Hospitals for Children Philadelphia, Philadelphia, PA 19140 USA. 3. 3Department of Medicine, Shriners Hospitals for Children, Chicago, IL 60707 USA. 4. 4Department of Pediatrics, Rush University, Chicago, IL 60612 USA. 5. 5James J Peters VA Medical Center, Bronx, NY 10468 USA. 6. 6Department of Medicine and Rehabilitation Medicine, Mount Sinai, Icahn School of Medicine, New York, NY 10029 USA.
Abstract
INTRODUCTION: Due the impact of maturation on cardiovascular hemodynamics the degree of cardiovascular dysfunction, attributable to spinal cord injury (SCI), in the pediatric and adolescent population remains unclear. While few studies have begun to assess this, there is still a void in the literature regarding the prevalence of cardiovascular dysfunction and how best to identify and treat it in this population. CASE PRESENTATION: The purpose of this case series is to present the cardiovascular profile of three adolescent patients with chronic SCI, ages 14-16, following 2 or 3 days of 24-h Ambulatory Blood Pressure Monitoring (ABPM). DISCUSSION: We found that there are variations across the different cases in most cardiovascular hemodynamic categories and a clarification of the International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) may be needed to accurately identify the remaining autonomic cardiovascular function in the adolescent SCI population.
INTRODUCTION: Due the impact of maturation on cardiovascular hemodynamics the degree of cardiovascular dysfunction, attributable to spinal cord injury (SCI), in the pediatric and adolescent population remains unclear. While few studies have begun to assess this, there is still a void in the literature regarding the prevalence of cardiovascular dysfunction and how best to identify and treat it in this population. CASE PRESENTATION: The purpose of this case series is to present the cardiovascular profile of three adolescent patients with chronic SCI, ages 14-16, following 2 or 3 days of 24-h Ambulatory Blood Pressure Monitoring (ABPM). DISCUSSION: We found that there are variations across the different cases in most cardiovascular hemodynamic categories and a clarification of the International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) may be needed to accurately identify the remaining autonomic cardiovascular function in the adolescent SCI population.
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