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Exertional hypotension in thoracic spinal cord injury: case report.

Authors
  • King, M L
  • Freeman, D M
  • Pellicone, J T
  • Wanstall, E R
  • Bhansali, L D
Type
Published Article
Journal
Paraplegia
Publication Date
Apr 01, 1992
Volume
30
Issue
4
Pages
261–266
Identifiers
PMID: 1625895
Source
Medline
License
Unknown

Abstract

Exertional hypotension is well described in quadraplegics, but there are few descriptions of this hemodynamic response in paraplegics or of treatment modalities to correct this condition. We describe a patient with a complete T3-4 spinal cord lesion who repeatedly demonstrated symptomatic hypotension with wheelchair sports and arm ergometry. We used gas exchange analysis and exercise echocardiography to delineate the mechanism for hypotension. These results enabled us to develop a simple treatment plan consisting of abdominal binding and elastic stockings to avoid recurrent symptoms.

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