ABSTRACT
Spinal cord injury (SCI) is a real health problem and cardiovascular disorders are the most common cause of mortality in SCI. Bradycardia in patients with spinal cord injury is related with autonomic instability and may be resistant to pharmacologic therapy. In this study, we report a case of life threatening bradycardia requiring temporary transvenous pace maker implantation in spinal cord injury. Placement of a temporary transvenous pace maker can be life saving in acute phase in spinal cord injury and all patients with spinal cord injury regardless of the level and severity should be closely monitored .