Carotid sinus hypersensitivity

Myocardial ischemia Carotid-sinus hypersensitivity Neurocardiac syncope... 

Idiopathic degeneration of the atrioventricular node Myocardial ischemia or infarction Neurocardiac syncope Carotid-sinus hypersensitivity... 

Symptomatic carotid sinus hypersensitivity also should be treated with permanent pacemaker therapy. Patients who remain symptomatic may benefit from adding an a-adrenergic stimulant such as midodrine. 

Plotkin CN, Eckenbrecnt PD, Waldo DA. Consecutive cardiac arrests on induction of anesthesia associated with nifedipine-induced carotid sinus hypersensitivity. Anesth Analog 1989 68(3) 402-5. 

Mulcahy R, Allcock L, O Shea D. Timolol, carotid sinus hypersensitivity, and elderly patients. Lancet 1998 352 (9134) 1147-8. 

Sugme DD, Gersh BJ, Holmes DR, et al. Symptomatic isolated carotid sinus hypersensitivity Natural history and results of treatment with anticholinergic drugs or pacemaker. J Am Coll Cardiol 1986 7 158-162. 

Strasberg B, Sagie A, Erdman S, et al. Carotid sinus hypersensitivity and the carotid sinus syndrome. Frog Cardiovasc Dis 1989 31 379-391. 

Autonomic responses Normal response, exaggerated vagal tone (carotid sinus hypersensitivity)... 

Kenny RA, O Shea D, Parry SW The Newcastle protocols for head-up tUt table testing in the diagnosis of vasovagal syncope, carotid sinus hypersensitivity, and related disorders. Heart 83, 564—569 (2000). 

Table 13.2 Indications for permanent pacing in hypersensitive carotid sinus syndrome and neurally mediated syncope.

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