Abstract
Carotid sinus syndrome is a frequent cause of syncope, especially in the elderly. The initial evaluation for this condition consists of a patient history, physical examination, standard electrocardiogram (ECG) and systemic blood pressure measurement in the supine and upright positions. If the origin of syncope remains uncertain, carotid sinus massage (CSM) together with the tilt test becomes the method of choice to unmask neuromediated syncopes.
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References
Mc Intosh SJ, Lawson J, Kenny RA (1993) Clinical characteristics of vasodepressor, cardioinhibitory and mixed carotid sinus syndrome in the elderly. Am J Med 95:203–208
Graux P, Mekerke W, Lemaire N et al (1989) Le syndrome du sinus carotidien. Apport de la monitorisation de la pression arterielle a l’exploration electrophysiologique endocavitaire. Arch Mal Coeur 82:193–199
Huang SKS, Ezri MD, Honser RG, Denes P (1988) Carotid sinus hypersensitivity in patients with unexplained syncope: clinical, electrophysiologic, and long-term follow-up observation. Am Heart J 116:989–996
Volkmann H, Schnerch B, Kuhnert H (1990) Diagnostic value of carotid sinus hypersensitivity. Pacing Clin Electrophysiol 13:2065–2070
Parry SW, Richardson D, O’Shea D et al (2000) Diagnosis of carotid sinus hypersensitivity in older adults: carotid sinus massage in the upright position is essential. Heart 83:22–23
Brignole M, Sartore B, Prato R (1983) Role of body position during carotid sinus stimulation test in the diagnosis of cardioinhibitory carotid sinus syndrome. G Ital Cardiol 14:69–72
Thomas JE (1969) Hyperactive carotid sinus reflex and carotid sinus syncope. Mayo Clin Proc 44:127–139
Brignole M, Menozzi C, Lolli G et al (1992) Long-term outcome of paced and non paced patients with severe carotid sinus syndrome. Am J Cardiol 69:1039–1043
Brignole M, Menozzi C (1992) Carotid sinus syndrome: diagnosis, natural history and treatment. Eur J Cardiac Pacing Electrophysiol 4:247–254
Brignole M, Menozzi C, Gianfranchi L et al (1991) Carotid sinus massage, eyeball compression and head-up tilt test in patients with syncope of uncertain origin and in healthy control subjects. Am Heart J 122:1644–1651
Brignole M, Menozzi C, Gianfranchi L et al (1991) Neurally mediated syncope detected by carotid sinus massage and head-up tilt test in sick sinus syndrome. Am J Cardiol 68:1032–1036
Puggioni E, Guiducci V, Brignole M et al (2002) Results and complications of the carotid sinus massage performed according to the “Methods of Symptoms”. Am J Cardiol 89:599–601
Gaggioli G, Brignole M, Menozzi C et al (1995) Reappraisal of the vasodepressor reflex in carotid sinus syndrome. Am J Cardiol 75:518–521
Brignole M, Menozzi C, Lolli G et al (1991) Validation of a method for choice of pacing mode in carotid sinus syndrome with or without sinus bradycardia. Pacing Clin Electrophysiol 14:196–203
Munro N, McIntosh S, Lawson J et al (1994) The incidence of complications after carotid sinus massage in older patients with syncope. J Am Geriatr Soc 42:1248–1251
Davies AG, Kenny RA (1998) Neurological complications following carotid sinus massage. Am J Cardiol 81:1256–1257
Franke H (1963) Uber das karotissinus-syndrome und den sogennanten hyperactiven karotissinus reflex. Fridrich-Kave Schattaueur, Stuttgart
Brignole M, Alboni P, Benditt DG et al (2004) Guidelines on management (diagnosis and treatment) of syncope — Update 2004. Europace 6:467–537
Kapoor W, Snustad D, Peterson J et al (1986) Syncope in the elderly. Am J Med 80:419–427
Mathias CJ, Deguchi K, Schatz I (2001) Observation on recurrent syncope and presyncope in 641 patients. Lancet 357:348–353
Ammirati F, Colivicchi F, Santini M (2000) Diagnosing syncope in clinical practice. Eur Heart J 21:935–940
Morley CA, Perrins EJ, Chan SL, Sutton R (1983) Long-term comparison of DVI and VVI pacing in carotid sinus syndrome. In: Steinbach K (ed) Proceedings of the VII World Symposium on Cardiac Pacing. Steinkopff Verlag, Darmstadt, pp 929–935
Stryjer D, Friedensohn A, Schlesinger Z (1986) Ventricular pacing as the preferable mode for lomg-term pacing in patients with carotid sinus syncope of the cardioinhibitory type. Pacing Clin Electrophysiol 9:705–709
Blanc JJ, Boshat J, Penther Ph (1984) Hypersensibilité sino-carotidienne. Evolution à moyen terme en fonction du traitement et de ses symptomes. Arch Mal Coeur 77:330–336
Maggi R, Menozzi C, Brignole M et al (2007) Cardioinhibitory carotid sinus hypersensitivity predicts an asystolic mechanism of spontaneous neurally-mediated syncope. Europace (in press)
Brignole M, Moya A, Menozzi C et al (2005) Proposed electrocardiographic classification of spontaneous syncope documented by an implantable loop recorder. Europace 7:14–18
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Maggi, R., Brignole, M. (2007). Performing Carotid Sinus Massage. In: Gulizia, M.M. (eds) Current News in Cardiology. Springer, Milano. https://doi.org/10.1007/978-88-470-0636-2_20
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DOI: https://doi.org/10.1007/978-88-470-0636-2_20
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0635-5
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