scholarly journals THE PATHOPHYSIOLOGY OF CAROTID SINUS HYPERSENSITIVITY: SENSORY BLOCK OF THE STERNOCLEIDOMASTOID MUSCLES DOES NOT INCREASE RESPONSES TO CAROTID SINUS MASSAGE

2017 ◽  
Vol 33 (10) ◽  
pp. S152-S153
Author(s):  
M. Lloyd ◽  
V. Claydon ◽  
J. Wakeling ◽  
R. Drapala ◽  
T. van Leeuwen ◽  
...  
Keyword(s):  
Carotid Sinus ◽  
Sensory Block ◽  
Carotid Sinus Massage ◽  
Carotid Sinus Hypersensitivity

Outcomes of Permanent Pacemaker Implantation for Carotid Sinus Hypersensitivity in a District General Hospital with a Falls Fits Faints and Funny Turns Clinic

2002 ◽  
Vol 47 (6) ◽  
pp. 128-131 ◽  
Author(s):  
P. M. Karunaratne ◽  
P. A. Broadhurst ◽  
C. A. Norris
Keyword(s):  
General Hospital ◽  
Carotid Sinus ◽  
Pacemaker Implantation ◽  
Hospital Setting ◽  
District General Hospital ◽  
Permanent Pacemaker ◽  
Tilt Table ◽  
Carotid Sinus Massage ◽  
Carotid Sinus Hypersensitivity ◽  
Permanent Pacemaker Implantation

Permanent pacemaker implantation is considered for carotid sinus hypersensitivity with asystolic pause of >3 seconds during carotid sinus massage, with or without associated systolic blood pressure drop of >50 mmHg. Aims: To assess the outcome of treatment with dual chamber permanent pacemaker implantation for carotid sinus hypersensitivity in a district general hospital and to compare our practice with available national data. Methods: Patients presenting with syncope, dizziness or unexplained falls were initially assessed as outpatient and investigations, commonly cardiovascular were performed including tilt table test with carotid sinus massage to look for carotid sinus hypersensitivity, vasovagal syncope and postural hypotension. A retrospective analysis was performed on patients who had pacemaker implantations for carotid sinus hypersensitivity. Results: Fifty pacemaker implantations were performed, 14 (28%) were for carotid sinus hypersensitivity. Mean follow-up period was 10 months. Age range was 56–88 (mean = 71.9) years. In the eighteen months prior to pacemaker implantation, 71.4% of patients had syncope, 64%> dizziness and 50% had unexplained falls. Following pacemaker implantations, only 2 (14.3 %) had symptoms. Scottish national figures show 13.6% of all new pacemaker implants were for carotid sinus hypersensitivity, and in district general hospitals this was 16%. Conclusions: Health benefits for patients presenting with syncope dizziness and falls can be achieved by cardiovascular investigations including tilt table testing. We have shown carotid sinus hypersensitivity is successfully treated with pacemaker implantation in a district general hospital setting and this type of clinic has an impact on the rate and type of new pacemaker implantation.

scholarly journals Carotid sinus hypersensitivity: block of the sternocleidomastoid muscle does not affect responses to carotid sinus massage in healthy young adults

2017 ◽  
Vol 5 (19) ◽  
pp. e13448 ◽  
Author(s):  
Matthew G. Lloyd ◽  
James M. Wakeling ◽  
Michael S. Koehle ◽  
Robert J. Drapala ◽  
Victoria E. Claydon
Keyword(s):  
Young Adults ◽  
Carotid Sinus ◽  
Sternocleidomastoid Muscle ◽  
Carotid Sinus Massage ◽  
Carotid Sinus Hypersensitivity

Carotid sinus syndrome: clinical presentation, diagnosis, and management

ESC CardioMed ◽  
2018 ◽  
pp. 1968-1971
Author(s):  
Richard Sutton
Keyword(s):  
Clinical Presentation ◽  
Carotid Sinus ◽  
Initial Evaluation ◽  
Dual Chamber ◽  
Carotid Sinus Syndrome ◽  
Carotid Sinus Massage ◽  
Tilt Testing ◽  
Carotid Sinus Hypersensitivity ◽  
Diagnosis And Management ◽  
Dual Chamber Pacing

Carotid sinus syndrome (CSS) accounts for 9% of patients presenting with syncope unexplained by the initial evaluation. It is often not considered as a possible diagnosis which can only be made by carotid sinus massage (CSM) when cardioinhibition and vasodepression occur with reproduction of symptoms. CSS must not be confused with carotid sinus hypersensitivity which is where CSM is positive in a subject without symptoms. Cardioinhibitory CSS is well treated by dual-chamber pacing but recurrence of syncope is more frequent if tilt testing is positive. Vasodepressor CSS is treated by fluids, salt, and reduction of hypotensive medication.

Incidence of Complications After Carotid Sinus Massage in Old er Patients with Syncope

1994 ◽  
Vol 42 (12) ◽  
pp. 1248-1251 ◽  
Author(s):  
Neil C. Munro ◽  
Shona Mclntosh ◽  
Joanna Lawson ◽  
Chris A. Morleyf ◽  
Richard Sutton ◽  
...  
Keyword(s):  
Carotid Sinus ◽  
Carotid Sinus Massage

Carotid Sinus Massage: Factors Influencing Response Magnitude and Repeatability

2015 ◽  
Vol 192 ◽  
pp. 84-85
Author(s):  
M.G. Lloyd ◽  
R. Skillen ◽  
M. Koehle ◽  
V.E. Claydon
Keyword(s):  
Carotid Sinus ◽  
Response Magnitude ◽  
Carotid Sinus Massage ◽  
Factors Influencing

Carotid sinus hypersensitivity following radiotherapy delivery in a patient with bilateral glomus jugular tumour

2011 ◽  
Vol 12 (9) ◽  
pp. 675-677 ◽  
Author(s):  
Antonio Sorgente ◽  
Andrea Sarkozy ◽  
Gian Battista Chierchia ◽  
Carlo de Asmundis ◽  
Lucio Capulzini ◽  
...  
Keyword(s):  
Carotid Sinus ◽  
Carotid Sinus Hypersensitivity
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