International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 2 | Case Report | Open Access

Leadless Pacemaker Implantation for Asystole in Cervical Spinal Cord Injury: A Case Report

Fnu Salman*

Department of Cardiovascular Medicine, Mercy St. Vincent Medical Center, Toledo, OH, USA

*Correspondence to: Fnu Salman 

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Abstract

Cervical spinal cord injury can result in impairment of the sympathetic nervous system with a risk for developing bradyarrhythmia and asystole due to overactivation of the parasympathetic nervous system. Such patients may need frequent interventions for arrhythmias and may be candidates for permanent pacemakers. Th ere is no clear consensus regarding the management of these patients and long-term outcomes in these patients are not well characterized. Here we describe the case of a 77-year-old male with cervical spinal cord injury and after a motor vehicle accident who was referred for pacemaker implantation due to frequent long sinus pauses requiring multiple resuscitation attempts. A leadless permanent pacemaker (Micra) was implanted, which successfully reduced the need for medical interventions during episodes of asystole.

Keywords:

Spinal cord; Micra; Asystole

Citation:

Fnu Salman, Muhammad Ahsan, Madeeha Shafqat, Uzma I Khan, Hossam Mustafa. Leadless Pacemaker Implantation for Asystole in Cervical Spinal Cord Injury: A Case Report. Int Clinc Med Case Rep Jour. 2022;1(2):1-5.