Interesting electrogram during electrophysiology study of a patient presenting with palpitation.Debasis acharya MBBS, MD, DM, PDF. Debasish das MBBS, MD, PDF. Jogendra Singh MBBS, MD. Subhas Pramanik .Department of cardiology, All india institute of medical sciences, Bhubaneswar, Odisha, India 751019.

Cardiovascular disturbances are the leading causes of morbidity and mortality in patients of spinal cord particularly cervical cord injury accounting for approximately 30% of deaths. Most common cardiovascular dysfunctions are sinus bradycardia, hypotension, cardiac arrest, supraventricular tachycardia and all these occurs due to sympathetic withdrawal and unopposed vagal action. Here we are reporting a case of acute cervical cord injury with neurogenic shock in a 25 year young patient who developed polymorphic ventricular tachycardia, which degenerated to ventricular fibrillation and cardiac arrest. We described all possible mechanisms of development this arrythmia and its management.