Document Detail


Risk of cardiac dysrhythmias in chronic spinal cord injury patients.
MedLine Citation:
PMID:  8247599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of cardiac dysrhythmias is characterized in a group of 47 chronic SCI patients (greater than 30 days post injury; range 35-3605 days) with SCI lesions ranging from C4 to L3 who were referred for evaluation of a potential cardiac dysrhythmia by 24 hour Holter monitoring. Patients were grouped according to level of injury as paraplegic (T1 and below), n = 22, or quadriplegic (C3-C8), n = 25. No evidence of life threatening dysrhythmias was noted in either group, and no differences were evidenced in the incidence of cardiac dysrhythmias between the groups. Premature ventricular contractions (PVCs) were noted in 4/25 quadriplegics, and in 1/22 paraplegics, and right bundle branch block (RBBB) was noted in 1/25 quadriplegics and 1/22 paraplegics. A two-year chart review follow up revealed that no clinically significant cardiac dysrhythmic events occurred in these patients. These findings suggest that the risk of cardiac dysrhythmia is attenuated following the acute phases of SCI and represents a diminished concern to the clinician.
Authors:
D A Leaf; R A Bahl; R H Adkins
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Paraplegia     Volume:  31     ISSN:  0031-1758     ISO Abbreviation:  Paraplegia     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-12-27     Completed Date:  1993-12-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985038R     Medline TA:  Paraplegia     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  571-5     Citation Subset:  IM    
Affiliation:
Center for Health Promotion and Disease Prevention, UCLA School of Medicine 90024-1772.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arrhythmias, Cardiac / etiology*
Chronic Disease
Electrocardiography, Ambulatory
Female
Humans
Male
Middle Aged
Risk Factors
Spinal Cord Injuries / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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