When should we consider cardiac monitoring during urodynamics in patients with low-level spinal cord injury (< T1)? Is A. Dysreflexia an issue?

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Miguel Vírseda-Chamorro

Autonomic dysreflexia could be a fatal event in patients with spinal cord injury at T6 or higher. Therefore, all patients with this lesion, even if incomplete, should be monitored during urodynamic studies. There are some risk factors that increase the likelihood, such as age (more risk in young people) and high maximum detrusor pressure during urination. Attached you will find an article on this topic. Best wishes

Azzawi Hadi

Any procedure lead to bladder filling, should be considered as an emergency, and all precautions should be taken.

Andrei Krassioukov

The lowest level of SCI where AD was documented is T10.... Neurological level of injury not always correspond with autonomic level of injury....