Coronary slow flow and acute coronary syndrome in a patient with spinal cord injury
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Updated: May 30, 2026

Contrast Enhanced Ultrasound Imaging for Assessment of Spinal Cord Blood Flow in Experimental Spinal Cord Injury
Published on: May 7, 2015
Meryem Aktoz1, Ersan Tatli, Ahmet Barutcu
1Department of Cardiology, Trakya University, 22030 Edirne, Turkey. meryemaktoz1@yahoo.com
Abstract:
We report the case of a 55-year-old man who presented with acute coronary syndrome due to coronary slow flow after spinal cord injury. Data regarding the causes and clinical manifestations of coronary slow flow are inconclusive, but the autonomic nervous system is believed to be at least a contributing factor. The predominant vagal activity causes vasodilation and hemostasis, which can lead to acute coronary syndrome. We hereby call attention to hyperactive parasympathetic tonicity, which can lead to coronary slow flow and acute coronary syndrome in acute spinal cord injury patients.
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