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  • Title: Recurrent asystole resulting from high cervical spinal cord injuries.
    Author: Franga DL, Hawkins ML, Medeiros RS, Adewumi D.
    Journal: Am Surg; 2006 Jun; 72(6):525-9. PubMed ID: 16808207.
    Abstract:
    Cervical spinal cord injury is a highly morbid condition frequently associated with cardiovascular instability. This instability may include bradyarrhythmias, as well as hypotension, and usually resolves in a relatively short time. However, over a 3-year period (January 2003-December, 2005), 5 of 30 patients with complete cervical spinal cord injuries seen at our Level I trauma center required placement of permanent cardiac pacemakers for recurrent bradycardia/asystolic events. Strong consideration for pacemaker placement should be given for those spinal cord-injured patients with symptomatic bradyarrhythmic events still occurring 2 weeks after injury.
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