Management of life-threatening bradycardia in spinal cord injury

A 19-year-old man with SCI at C5 suffered recurrent life-threatening bradycardia and asystole. We detail his course, which included continual movement in a motion bed and propantheline-bromide (Pro-Banthine) therapy, over 3 1/2 months. Possible causes of bradycardia and autonomic dysfunction in this setting are discussed.