Cardiac arrhythmias six months following traumatic spinal cord injury
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Cardiac arrhythmias six months following traumatic spinal cord injury. / Balthazaar, Shane J.T. ; Sengeløv, Morten; Bartholdy, Kim; Larsen, Lasse Malmqvist; Ballegaard, Martin; Hansen, Birgitte; Svendsen, Jesper Hastrup; Kruse, Anders; Welling, Karen-Lise; Krassioukov, Andrei V; Biering-Sørensen, Fin; Biering-Sørensen, Tor.
In: Journal of Spinal Cord Medicine, Vol. 45, No. 4, 2022, p. 631-637.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cardiac arrhythmias six months following traumatic spinal cord injury
AU - Balthazaar, Shane J.T.
AU - Sengeløv, Morten
AU - Bartholdy, Kim
AU - Larsen, Lasse Malmqvist
AU - Ballegaard, Martin
AU - Hansen, Birgitte
AU - Svendsen, Jesper Hastrup
AU - Kruse, Anders
AU - Welling, Karen-Lise
AU - Krassioukov, Andrei V
AU - Biering-Sørensen, Fin
AU - Biering-Sørensen, Tor
PY - 2022
Y1 - 2022
N2 - Objective To investigate the incidence of cardiac arrhythmias at six months following traumatic spinal cord injury (SCI) and to compare the prevalence of arrhythmias between participants with cervical and thoracic SCI. Design A prospective observational study using continuous twenty-four-hour Holter monitoring. Setting Inpatient rehabilitation unit of a university research hospital and patient home setting. Participants Fifty-five participants with acute traumatic SCI were prospectively included. For each participant, the SCI was characterized according to the International Standards for Neurological Classification of SCI by the neurological level and severity according to the American Spinal Injury Association Impairment Scale. Outcome measures Comparisons between demographic characteristics and arrhythmogenic occurrences as early as possible after SCI (4 ± 2 days) followed by 1, 2, 3, 4 weeks and 6 month time points of Holter monitoring. Results Bradycardia (heart rate [HR] <50 bpm) was present in 29% and 33% of the participants with cervical (C1–C8) and thoracic (T1–T12) SCI six months after SCI, respectively. The differences in episodes of bradycardia between the two groups were not significant (P < 0.54). The mean maximum HR increased significantly from 4 weeks to 6 months post-SCI (P < 0.001), however mean minimum and maximum HR were not significantly different between the groups at the six-month time point. There were no differences in many arrhythmias between recording periods or between groups at six months. Conclusions At the six-month timepoint following traumatic SCI, there were no significant differences in occurrences of arrhythmias between participants with cervical and thoracic SCI compared to the findings observed in the first month following SCI.
AB - Objective To investigate the incidence of cardiac arrhythmias at six months following traumatic spinal cord injury (SCI) and to compare the prevalence of arrhythmias between participants with cervical and thoracic SCI. Design A prospective observational study using continuous twenty-four-hour Holter monitoring. Setting Inpatient rehabilitation unit of a university research hospital and patient home setting. Participants Fifty-five participants with acute traumatic SCI were prospectively included. For each participant, the SCI was characterized according to the International Standards for Neurological Classification of SCI by the neurological level and severity according to the American Spinal Injury Association Impairment Scale. Outcome measures Comparisons between demographic characteristics and arrhythmogenic occurrences as early as possible after SCI (4 ± 2 days) followed by 1, 2, 3, 4 weeks and 6 month time points of Holter monitoring. Results Bradycardia (heart rate [HR] <50 bpm) was present in 29% and 33% of the participants with cervical (C1–C8) and thoracic (T1–T12) SCI six months after SCI, respectively. The differences in episodes of bradycardia between the two groups were not significant (P < 0.54). The mean maximum HR increased significantly from 4 weeks to 6 months post-SCI (P < 0.001), however mean minimum and maximum HR were not significantly different between the groups at the six-month time point. There were no differences in many arrhythmias between recording periods or between groups at six months. Conclusions At the six-month timepoint following traumatic SCI, there were no significant differences in occurrences of arrhythmias between participants with cervical and thoracic SCI compared to the findings observed in the first month following SCI.
U2 - 10.1080/10790268.2021.1950453
DO - 10.1080/10790268.2021.1950453
M3 - Journal article
C2 - 34292114
VL - 45
SP - 631
EP - 637
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
SN - 1079-0268
IS - 4
ER -
ID: 274614865