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Carotid Sinus Massage

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1. Carotid sinus hypersensitivity: block of the sternocleidomastoid muscle does not affect responses to carotid sinus massage in healthy young adults (PubMed)

Carotid sinus hypersensitivity: block of the sternocleidomastoid muscle does not affect responses to carotid sinus massage in healthy young adults The arterial baroreflex is crucial for short-term blood pressure control - abnormal baroreflex function predisposes to syncope and falling. Hypersensitive responses to carotid baroreflex stimulation using carotid sinus massage (CSM) are common in older adults and may be associated with syncope. The pathophysiology of this hypersensitivity is unknown (...) , but chronic denervation of the sternocleidomastoid muscles is common in elderly patients with carotid sinus hypersensitivity (CSH), and is proposed to interfere with normal integration of afferent firing from the carotid baroreceptors with proprioceptive feedback from the sternocleidomastoids, producing large responses to CSM. We hypothesized that simulation of sternocleidomastoid "denervation" using pharmacological blockade would increase cardiovascular responses to CSM. Thirteen participants received

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2017 Physiological reports

2. Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method (PubMed)

Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method Carotid sinus hypersensitivity (CSH) is a frequent finding in the evaluation of syncope. However, its significance in the clinical setting is still dubious. A new criterion was proposed by Solari et al. with a symptomatic systolic blood pressure (SBP) cut-off value of ≤ 85 mmHg to refine the vasodepressor (VD) response diagnosis.To determine and compare the response to carotid sinus massage (CSM

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2018 Arquivos brasileiros de cardiologia

3. Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method (PubMed)

Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method 30110050 2018 09 10 2018 12 02 1678-4170 111 1 2018 07 Arquivos brasileiros de cardiologia Arq. Bras. Cardiol. Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method. 92-93 S0066-782X2018000700092 10.5935/abc.20180134 Mateos José Carlos Pachón JCP Universidade de São Paulo (USP), São Paulo, SP - Brazil. Hospital do Coração de São Paulo (HCor), São Paulo, SP - Brazil (...) . Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brazil. eng por Editorial Comment Brazil Arq Bras Cardiol 0421031 0066-782X IM Arq Bras Cardiol. 2018 Jul;111(1):84-91 30110049 Carotid Sinus Humans Massage Syncope 2018 8 16 6 0 2018 8 16 6 0 2018 9 11 6 0 ppublish 30110050 S0066-782X2018000700092 10.5935/abc.20180134 PMC6078375 Arch Intern Med. 2006 Mar 13;166(5):515-20 16534037 Aging Clin Exp Res. 2011 Aug;23(4):304-8 22067373 Circulation. 2017 Aug 1;136(5):e60-e122 28280231 Eur Heart J. 2018

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2018 Arquivos brasileiros de cardiologia

4. Usefulness of Tilt Testing and Carotid Sinus Massage for Evaluating Reflex Syncope. (PubMed)

Usefulness of Tilt Testing and Carotid Sinus Massage for Evaluating Reflex Syncope. Thirty years ago Tilt Testing (TT) was described as a tool in the diagnostic work-up of vasovagal syncope; after its initial success, some flaws have become evident. The concept of hypotensive susceptibility has provided the test a new relevance, shifting from diagnosis only, to therapeutic management. Carotid Sinus Massage (CSM) was introduced at the beginning of the XX century; the technique has evolved over (...) years, whereas the concept of carotid sinus syndrome (CSS) has remained unchanged and uncontested for more than half a century. Nowadays, CSS is a matter of debate, with new classifications and criteria coming on the scene. Recently, a common central etiological mechanism has been hypothesized for reflex syncope, manifesting as CSS, vasovagal syncope or both. In this context, TT and CSM acquire an important role in clinical practice, being essential for a complete diagnosis and treatment. Recalling

2018 American Journal of Cardiology

5. Comparison of Treatment of Supraventricular Tachycardia by Valsalva Maneuver and Carotid Sinus Massage. (PubMed)

Comparison of Treatment of Supraventricular Tachycardia by Valsalva Maneuver and Carotid Sinus Massage. To compare the efficacy of the Valsalva maneuver with that of carotid sinus massage (CSM) in terminating paroxysmal supraventricular tachycardia (SVT) in the ED.This prospective, randomized case study was performed in the ED of a tertiary care institution. Patients were at least 10 years of age with regular narrow complex tachycardia and had an ECG diagnosis of SVT. Patients with regular (...) status.One hundred forty-eight instances of SVT were studied. Sixty-two patients underwent Valsalva maneuver first with conversion in 12 (success rate of 19.4%). Eighty-six underwent CSM first with conversion in 9 (success rate 10.5%). Carotid sinus massage was used in the 50 cases of SVT in which conversion was not achieved with the Valsalva maneuver. Conversion occurred in 7 cases (success rate 14.0%). For the 77 cases of SVT in which initial CSM did not achieve conversion, conversion occurred in 13

2017 Annals of Emergency Medicine

6. Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope: A Systematic Review for the 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American Coll

; AV, atrioventricular; CI, confidence interval; CICSH, cardioinhibitory carotid sinus hypersensitivity; CLS, closed-loop stimulation; CSH, carotid sinus hypersensitivity; CSM, carotid sinus massage; CSS, carotid sinus syndrome; HR, hazard ratio; ITT, intention-to-treat; MI, myocardial infarction; N/A, not available; NMS, neurally mediated syncope; NYHA, New york Heart Association classification; OR, odds ratio; pts, patients; RCT, randomized controlled trial; RR, relative risk; RRR, relative risk (...) Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope: A Systematic Review for the 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American Coll Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope: A Systematic Review for the 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report

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2017 American Heart Association

7. Carotid Sinus Massage

Carotid Sinus Massage Carotid Sinus Massage Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Carotid Sinus Massage Carotid Sinus (...) Massage Aka: Carotid Sinus Massage From Related Chapters II. Indication Evaluation of III. Contraindications Absolute Contraindications (in last 3 months) (in last 3 months) history history Previous adverse reaction to Carotid Sinus Massage Relative Contraindications Evaluate prior to massage Perform carotid or atheroma suggests risk Obtain if massage performed IV. Monitoring during carotid massage Parameters followed Continuous Timing of monitoring Obtain baseline values prior to carotid massage V

2018 FP Notebook

8. Safety and tolerability of Tilt Testing and Carotid Sinus Massage in the octogenarians. (PubMed)

Safety and tolerability of Tilt Testing and Carotid Sinus Massage in the octogenarians. to evaluate the safety and tolerability of Tilt Testing (TT) and Carotid Sinus Massage (CSM) in octogenarians with unexplained syncope.patients consecutively referred for transient loss of consciousness to the 'Syncope Units' of three hospitals were enrolled. TT and CSM were performed according to the European Society of Cardiology guidelines on syncope. Complications were evaluated in each group. An early (...) , observed in ∼3% of patients ≥80 years. Major complications such as sustained ventricular tachycardia, ventricular fibrillation, asystole requiring cardiac massage, transient ischaemic attack, stroke and death were not observed in any patient. The presence of orthostatic hypotension and the mean number of syncopal episodes were predictors of TT complications. Intolerance was reported in 2.4% of older patients and 1% of the younger ones (P = 0.08), mainly due to orthostatic intolerance. No complications

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2016 Age and ageing

9. Carotid sinus massage for checking carotid sinus hypersensitivity

Carotid sinus massage for checking carotid sinus hypersensitivity Carotid sinus massage for checking carotid sinus hypersensitivity – All About Cardiovascular System and Disorders Now Trending: | December 11, 2015 | | Carotid sinus massage for checking carotid sinus hypersensitivity Carotid arterial pulse located just below the thyroid cartilage Right followed by left carotid sinus massage, with a pause between Massage and not occlusion should be done Done first in supine position (...) and then in erect posture if there no positive response in the supine position 3 sec asystole and / or 50 mm Hg fall in systolic pressure is taken as a positive response Carotid bruit and recent myocardial infarction are contraindications A very small risk of stroke / TIA has to be borne in mind Share this: Related Related Posts | Jun 7, 2011 | Sep 19, 2018 | Nov 21, 2015 | Aug 15, 2009 Senior Consultant, Department of Cardiology, Baby Memorial Hospital, Kozhikode, Kerala, India; Former Professor of Cardiology

2015 Cardiophile MD blog

10. Incidence and predictors of syncope recurrence after cardiac pacing in patients with carotid sinus syndrome. (PubMed)

European Syncope Guidelines, combined to perform this study. Retrospective analysis of 3127 consecutive patients undergoing carotid sinus massage (CSM) was performed 2004-2014. Ten-second supine and standing CSM was systematically assessed in patients aged >40 years with suspected reflex syncope as part of the initial evaluation. Syncope recurrence was investigated in those paced for CSS having >6 months' available follow-up. Data were collected from clinical records and patient interviews.CSS (...) Incidence and predictors of syncope recurrence after cardiac pacing in patients with carotid sinus syndrome. Cardiac pacing is the treatment of choice for cardioinhibitory carotid sinus syndrome (CSS), but syncope recurrence occurs in up to 20% of patients within 3 years. The present study aims at assessing incidence and identifying predictors of syncope recurrence in patients receiving pacing therapy for CSS.The Syncope Clinics of two large regional hospitals in Northern Italy, both following

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2018 International journal of cardiology

11. Syncope and hypotension associated with carotid sinus hypersensitivity in a patient with nasopharyngeal carcinoma: A case report. (PubMed)

Syncope and hypotension associated with carotid sinus hypersensitivity in a patient with nasopharyngeal carcinoma: A case report. Carotid sinus hypersensitivity (CSH) is traditionally classified into 3 subgroups: cardioinhibitory, vasodepressor, and mixed subtypes. However, the underlying mechanism of CSH in head and neck cancer is controversial. Several pathological mechanisms of CSH have been proposed: atherosclerotic noncompliance, sternocleidomastoid proprioceptive denervation (...) , and generalized autonomic dysfunction.We reported a 75-year-old man who had recurrent syncope attacks secondary to hypotension and reduced plasma norepinephrine (NE) levels. CSH was suspected when carotid massage induced syncope-like symptom.Nasopharynx carcinoma with regional lymph node involvement and CSH.On admission, dopamine was administered to maintain the blood pressure. When NE deficiency was confirmed, intravenous NE combined with oral midodrine replaced the dopamine treatment.The syncopal episodes

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2018 Medicine

12. Reconsidering the effectiveness and safety of carotid sinus massage as a therapeutic intervention in patients with supraventricular tachycardia. (PubMed)

Reconsidering the effectiveness and safety of carotid sinus massage as a therapeutic intervention in patients with supraventricular tachycardia. The objectives of our investigation were to review the evidence for the efficacy and safety of carotid sinus massage in terminating supraventricular tachycardia and to determine if other potentially less harmful interventions have been established to be safer and more effective.A search using PubMed, Ovid, and COCHRANE databases was performed using (...) the terms supraventricular tachycardia, carotid sinus massage, SVT, and CSM. Articles not written in English were excluded. There was a paucity of randomized controlled trials comparing various supraventricular tachycardia (SVT) interventions. However, articles of highest quality were selected for review and inclusion. In addition, articles examining potential hazards of carotid sinus massage in case report format were reviewed, even when performed for other indications other than SVT, as the maneuver

2015 American Journal of Emergency Medicine

13. Modified carotid sinus massage using an ultrasonography for maximizing vagal tone: a crossover simulation study. (PubMed)

Modified carotid sinus massage using an ultrasonography for maximizing vagal tone: a crossover simulation study. The aim of this study was to ascertain if a modified carotid sinus massage (CSM) using ultrasonography is superior to the conventional CSM for vagal tone generation.This was a prospective, crossover, clinical trial including 30 subjects with sinus rhythm. Participants were paired, and they performed 2 types of CSM to each other. To perform the conventional technique, pressure (...) was exerted at the point where the maximal impulse of the carotid pulse was palpated. In the modified technique, participants localized the point of maximal diameter just above the bifurcation of the common carotid artery using ultrasonography and applied pressure to that point. Mean differences between premaneuver and postmaneuver R-R intervals and heart rates were compared. The distance from the midline of the neck (x distance) to the angle of the mandible (y distance) was measured, and the mean

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2015 American Journal of Emergency Medicine

14. Modified criteria for carotid sinus hypersensitivity are associated with increased mortality in a population-based study (PubMed)

Modified criteria for carotid sinus hypersensitivity are associated with increased mortality in a population-based study Carotid sinus hypersensitivity (CSH) is arbitrarily defined as ≥3 s asystole or vasodepression of ≥50 mmHg in response to carotid sinus massage (CSM). Using this definition, 39% of older people meet the criteria for CSH. It has been suggested that current criteria are too sensitive. Krediet et al. [The history of diagnosing carotid sinus hypersensitivity: why are the current (...) aged ≥65 were recruited at random. Carotid sinus massage was performed for 5 s in supine and head-up positions. Heart rate and blood pressure response were recorded using an electrocardiogram and photoplethysmography. Cox regression analysis was used to examine the association between each definition of CSH and all-cause mortality. The prevalence of CSH defined according to standard, Krediet, and Kerr criteria was 39, 52, and 10%, respectively. Seventy-one participants died over a mean follow-up

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2016 Europace

15. The accuracy of anatomical landmarks for locating the carotid sinus. (PubMed)

The accuracy of anatomical landmarks for locating the carotid sinus. carotid sinus massage (CSM) is a valuable clinical test for carotid sinus syndrome (CSS) and relies on accurately locating the carotid sinus (CS).in this study, we sought to examine the accuracy of using anatomical landmarks for locating the CS.consecutive patients (n = 20) were recruited prospectively. Two clinicians, trained in CSM, were asked to locate the CS using anatomical landmarks. A point on the skin overlying the CS

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2016 Age and ageing

16. Carotid Sinus Massage

Carotid Sinus Massage Carotid Sinus Massage Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Carotid Sinus Massage Carotid Sinus (...) Massage Aka: Carotid Sinus Massage From Related Chapters II. Indication Evaluation of III. Contraindications Absolute Contraindications (in last 3 months) (in last 3 months) history history Previous adverse reaction to Carotid Sinus Massage Relative Contraindications Evaluate prior to massage Perform carotid or atheroma suggests risk Obtain if massage performed IV. Monitoring during carotid massage Parameters followed Continuous Timing of monitoring Obtain baseline values prior to carotid massage V

2015 FP Notebook

17. His bundle recordings in paroxysmal atrioventricular block produced by carotid sinus massage. (PubMed)

His bundle recordings in paroxysmal atrioventricular block produced by carotid sinus massage. 4835186 1974 09 04 2018 11 13 0007-0769 36 5 1974 May British heart journal Br Heart J His bundle recordings in paroxysmal atrioventricular block produced by carotid sinus massage. 487-91 Castellanos A A Sung R J RJ Cunha D D Myerburg R J RJ eng Journal Article England Br Heart J 0370634 0007-0769 AIM IM Bundle-Branch Block physiopathology Carotid Sinus Electrocardiography Female Heart Block etiology

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1974 British Heart Journal

18. Assessment of the vasodepressor reflex in carotid sinus syndrome. (PubMed)

Assessment of the vasodepressor reflex in carotid sinus syndrome. Assessment of the vasodepressor reflex in carotid sinus syndrome is influenced by the method of execution of the carotid sinus massage and the coexistence of the cardioinhibitory reflex.Carotid sinus massage reproduced spontaneous symptoms in 164 patients in the presence of hypotension or bradycardia (method of symptoms). When an asystolic pause was induced, the vasodepressor reflex was reassessed after suppression

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2014 Circulation. Arrhythmia and electrophysiology

19. Carotid Sinus Hypersensitivity (Diagnosis)

introduced to categorize patients who are presumed to have CSH, as follows: The term spontaneous carotid sinus syndrome refers to a clinical situation in which the symptoms can be clearly attributed to a history of accidental mechanical manipulation of the carotid sinuses (eg, taking pulses in the neck, shaving) and CSH is reproduced by carotid sinus massage. Spontaneous carotid sinus syndrome is rare and accounts for about 1% of causes of syncope. The term induced carotid sinus syndrome refers (...) to a clinical situation in which a patient has no clear history of accidental mechanical manipulation of the carotid sinuses and has a negative result from workup for syncope, except for a hypersensitive response to carotid sinus massage, which can be attributed to the patient's symptoms. Induced carotid sinus syndrome is more prevalent than spontaneous carotid sinus syndrome and accounts for the bulk of patients with an abnormal response to carotid sinus massage observed in the clinical setting. Previous

2014 eMedicine.com

20. Carotid Sinus Hypersensitivity (Treatment)

, Gallino A. Ranolazine: Drug overview and possible role in primary microvascular angina management. Int J Cardiol . 2015 Feb 15. 181:376-81. . Lloyd MG, Wakeling JM, Koehle MS, Drapala RJ, Claydon VE. Carotid sinus hypersensitivity: block of the sternocleidomastoid muscle does not affect responses to carotid sinus massage in healthy young adults. Physiol Rep . 2017 Oct. 5(19): . . Evidence Review Committee Members, Varosy PD, Chen LY, Miller AL, et al. Pacing as a treatment for reflex-mediated (...) Carotid Sinus Hypersensitivity (Treatment) Carotid Sinus Hypersensitivity Treatment & Management: Approach Considerations, Medical Care, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

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