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Cardiac arrhythmias six months following traumatic spinal cord injury

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@article{5907deb6ff034a10b98fd083ecfe4a5d,
title = "Cardiac arrhythmias six months following traumatic spinal cord injury",
abstract = "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.",
keywords = "Arrhythmias, Cardiovascular disease, Holter monitoring, Morbidity, Spinal cord injuries",
author = "Balthazaar, {Shane J T} and Morten Sengel{\o}v and Kim Bartholdy and Lasse Malmqvist and Martin Ballegaard and Birgitte Hansen and Svendsen, {Jesper Hastrup} and Anders Kruse and Karen-Lise Welling and Krassioukov, {Andrei V} and Fin Biering-S{\o}rensen and Tor Biering-S{\o}rensen",
year = "2021",
month = jul,
day = "22",
doi = "10.1080/10790268.2021.1950453",
language = "English",
pages = "epub",
journal = "Journal of Spinal Cord Medicine",
issn = "1079-0268",
publisher = "American Paraplegia Society",

}

RIS

TY - JOUR

T1 - Cardiac arrhythmias six months following traumatic spinal cord injury

AU - Balthazaar, Shane J T

AU - Sengeløv, Morten

AU - Bartholdy, Kim

AU - Malmqvist, Lasse

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 - 2021/7/22

Y1 - 2021/7/22

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.

KW - Arrhythmias

KW - Cardiovascular disease

KW - Holter monitoring

KW - Morbidity

KW - Spinal cord injuries

UR - http://www.scopus.com/inward/record.url?scp=85111558294&partnerID=8YFLogxK

U2 - 10.1080/10790268.2021.1950453

DO - 10.1080/10790268.2021.1950453

M3 - Journal article

C2 - 34292114

SP - epub

JO - Journal of Spinal Cord Medicine

JF - Journal of Spinal Cord Medicine

SN - 1079-0268

ER -

ID: 68414425