An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury
Bradycardia and transient asystole are well-described sequelae of a myriad of neurologic insults, ranging from focal to generalized injuries. Increased vagal tone also predisposes many individuals, particularly adolescents, to transient neurally mediated bradyarrhythmia. However, prolonged periods o...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2011/579805 |
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| author | Matthew Nayor Alissa J. Berliner Grant V. Chow David D. Spragg |
| author_facet | Matthew Nayor Alissa J. Berliner Grant V. Chow David D. Spragg |
| author_sort | Matthew Nayor |
| collection | DOAJ |
| description | Bradycardia and transient asystole are well-described sequelae of a myriad of neurologic insults, ranging from focal to generalized injuries. Increased vagal tone also predisposes many individuals, particularly adolescents, to transient neurally mediated bradyarrhythmia. However, prolonged periods of sinus arrest without junctional or ventricular escape are quite rare, even after significant neurologic injury. We describe the case of a 17-year-old man who presented with anoxic brain injury secondary to hemorrhagic shock from a stab wound to the neck. His recovery was complicated by prolonged periods of sinus arrest and asystole, lasting over 60 seconds per episode. This case illustrates that sustained asystolic episodes may occur following significant neurologic injury, and may continue to recur even months after an initial insult. Pacemaker implantation for such patients should be strongly considered. |
| format | Article |
| id | doaj-art-25bd9c35c0e745e5a45987ad9ef41c32 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-25bd9c35c0e745e5a45987ad9ef41c322025-02-03T05:51:43ZengWileyCase Reports in Cardiology2090-64042090-64122011-01-01201110.1155/2011/579805579805An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain InjuryMatthew Nayor0Alissa J. Berliner1Grant V. Chow2David D. Spragg3Department of Medicine, Johns Hopkins Medical Institutions, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USACCBC Essex and College of Health Professions, Towson University, Towson, MD 21252-0001, USADivision of Cardiology, Johns Hopkins Medical Institutions, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USADivision of Cardiology, Johns Hopkins Medical Institutions, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USABradycardia and transient asystole are well-described sequelae of a myriad of neurologic insults, ranging from focal to generalized injuries. Increased vagal tone also predisposes many individuals, particularly adolescents, to transient neurally mediated bradyarrhythmia. However, prolonged periods of sinus arrest without junctional or ventricular escape are quite rare, even after significant neurologic injury. We describe the case of a 17-year-old man who presented with anoxic brain injury secondary to hemorrhagic shock from a stab wound to the neck. His recovery was complicated by prolonged periods of sinus arrest and asystole, lasting over 60 seconds per episode. This case illustrates that sustained asystolic episodes may occur following significant neurologic injury, and may continue to recur even months after an initial insult. Pacemaker implantation for such patients should be strongly considered.http://dx.doi.org/10.1155/2011/579805 |
| spellingShingle | Matthew Nayor Alissa J. Berliner Grant V. Chow David D. Spragg An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury Case Reports in Cardiology |
| title | An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury |
| title_full | An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury |
| title_fullStr | An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury |
| title_full_unstemmed | An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury |
| title_short | An Unusual Case of Asystole following Penetrating Neck Trauma and Anoxic Brain Injury |
| title_sort | unusual case of asystole following penetrating neck trauma and anoxic brain injury |
| url | http://dx.doi.org/10.1155/2011/579805 |
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