Heart Rate Beat to Beat Variability of Trauma Patient in Neurogenic Shock State: Time to Introduce New Symptoms
Journal Title: Bulletin of Emergency And Trauma - Year 2017, Vol 5, Issue 3
Abstract
The autonomic nervous system (ANS) is consisted of several centers in the central nervous system (CNS) and the connections with the end organs through plexus and peripheral nerves which controls the hemodynamics [1]. It has been well demonstrated that patients with spinal cord injury (SCI) at T6 and above levels experience several hemodynamic abnormalities such as baseline low systemic blood pressure, orthostatic hypotension and episodes of sudden increase in blood pressure probably due to autonomic dysfunction [2]. In addition to hemodynamic abnormalities, SCI can lead to cardiac arrhythmia including sinus bradycardia, supraventricular arrhythmia, ventricular arrhythmia and cardiac arrest [3–6]. Although these cardiac arrhythmias are relatively well recognized in the subacute and chronic stages after SCI, there is a paucity of studies focused on abnormal cardiac electrical activity during the early stages following SCI.
Authors and Affiliations
Shahram Paydar, Mohammad Yasin Karami, Hosseinali Khalili, Maryam Dehghankhalili, Golnar Sabetian, Fariborz Ghaffarpasand
Keywords
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