Cardiovascular complications of spinal cord injury

Ellen Merete Hagen1, Tiina Rekand, Marit Grønning

  • 1Nevrologisk avdeling, Haukeland universitetssykehus, ogInstitutt for klinisk medisin, Universitet i Bergen. ellen.merete.hagen@helse-bergen.no

Insights

Spinal cord injuries (SCIs) can lead to serious cardiovascular issues like autonomic dysreflexia and increased risk of heart disease. Early recognition and management of these complications are crucial for patient outcomes.

Area of Science:

  • Cardiovascular Science
  • Neurology
  • Autonomic Nervous System

Background:

  • The autonomic nervous system regulates cardiovascular function.
  • Spinal cord injuries disrupt this regulation, leading to cardiovascular complications.

Purpose of the Study:

  • To overview the autonomic innervation of the cardiovascular system.
  • To describe cardiovascular sequelae following spinal cord injuries.

Main Methods:

  • Literature search conducted in PubMed.
  • Search terms included "traumatic spinal cord injury" and "autonomic dysfunction", "autonomic dysreflexia", "cardiovascular disease".

Main Results:

  • Acute phase complications: bradyarrhythmia, hypotension, vasodilation, venous stasis.
  • Chronic phase complications: orthostatic hypotension, impaired BP/volume/temperature regulation.
  • Autonomic dysreflexia (AD) in tetraplegia (injury above T6), characterized by sudden hypertension, potentially life-threatening.
  • Increased risk of atherosclerosis, thrombotic emboli due to metabolic changes and venous stasis.

Conclusions:

  • Understanding cardiovascular complications post-SCI is vital.
  • Assessment aids diagnostics, prevention, and optimal treatment.
  • Proactive management improves patient prognosis.
Abstract

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