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May 1976

Cardiac Monitoring and Demand Pacemaker in Guillain-Barré Syndrome-Reply

Author Affiliations

4786 Drummond Dr Vancouver, BC V6T 1B4 Canada

Arch Neurol. 1976;33(5):374. doi:10.1001/archneur.1976.00500050060018

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In Reply.—  I am grateful for Dr Pace's interest and comments. Regrettably, we did not obtain blood gas measurements while the child was being suctioned and it was not possible directly to respond to his suggestions. However, we did notice that suctioning during other times of the illness was only infrequently associated with arrhythmias, although these became predictable when other signs of autonomic dysfunction occurred. Furthermore, suctioning continued during convalescence after the pacemaker was removed and no more arrhythmias occurred. Therefore, it may be that a combination of hypoxia and neurological damage is necessary for these serious cardiac complications to occur. Further clinical investigation undoubtedly will provide the answers.

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