Cardiac Consequences of Autonomic Dysreflexia in Spinal Cord Injury

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Cardiac Consequences of Autonomic Dysreflexia in Spinal Cord Injury.

Autonomic dysreflexia (AD), which describes episodic hypertension, is highly prevalent in people with spinal cord injury (SCI). In non-SCI, primary hypertension depresses cardiac contractile reserve via β-adrenergic mechanisms. In this study, we investigated whether AD contributes to the impairment in cardiac contractile function that accompanies SCI. We induced SCI in rodents and stratified th...

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Assessment of autonomic dysreflexia in patients with spinal cord injury.

OBJECTIVES AND METHODS To assess the impairment of supraspinal control over spinal sympathetic centres and the occurrence of autonomic dysreflexia in patients with spinal cord injury. Autonomic dysreflexia is caused by the disconnection of spinal sympathetic centres from supraspinal control and is characterised by paroxysmal hypertensive episodes caused by non-specific stimuli below the level o...

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Autonomic dysreflexia in a parturient with spinal cord injury.

Autonomic dysreflexia (ADR) is a syndrome of imbalanced reflex sympathetic discharge occurring in patients with spinal cord injury (SCI) at or above the level of splanchnic sympathetic outflow (T6). We present the case of a 29 year-old, gravida 3, para 1 Caucasian female at 28 weeks gestation, with a history of T3 SCI secondary to a gunshot wound 9 years prior, who developed ADR during preterm ...

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Autonomic dysreflexia in spinal cord injury patients: an overview.

Introduction As chiropractors, we pride ourselves in our knowledge of the nervous system. An autonomic nervous system condition common to patients with spinal cord injury (SCI) is autonomic dysreflexia (AD).1 It is a syndrome of massive imbalanced reflex sympathetic discharge occurring in patients with SCI above the splanchnic sympathetic outflow (T5-T6).2 Chiropractors can play an important ro...

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Acute Severe Autonomic Dysreflexia during Spinal Cord Intramedullary Tumor Resectione

Background & Importance: Acute autonomic system impairment can be dangerous and life-threatening, and a clinician should be aware of its occurrence possibility. According to the anatomy of this system, spinal cord lesions could disturb its function. There are many reports of autonomic dysreflexia in spinal cord i njuries especially spinal cord trauma. Case Presentation: A 28 year-o...

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ژورنال

عنوان ژورنال: Hypertension

سال: 2016

ISSN: 0194-911X,1524-4563

DOI: 10.1161/hypertensionaha.116.07919