How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

420 results for

Carotid Sinus Syncope

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

2. Incidence and predictors of syncope recurrence after cardiac pacing in patients with carotid sinus syndrome. Full Text available with Trip Pro

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 (...) 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

2018 International journal of cardiology

3. Syncope and hypotension associated with carotid sinus hypersensitivity in a patient with nasopharyngeal carcinoma: A case report. Full Text available with Trip Pro

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

2018 Medicine

4. Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method Full Text available with Trip Pro

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 (...) ) in patients with and without syncope according to standard and proposed criteria.CSM was performed in 99 patients with and 66 patients without syncope. CSH was defined as cardioinhibitory (CI) for asystole ≥ 3 seconds, or as VD for SBP decrease ≥ 50 mmHg.No differences in the hemodynamic responses were observed during CSM between the groups, with 24.2% and 25.8% CI, and 8.1% and 13.6% VD in the symptomatic and asymptomatic groups, respectively (p = 0.466). A p value < 0.050 was considered statistically

2018 Arquivos brasileiros de cardiologia

5. Carotid Sinus Massage in Syncope Evaluation: A Nonspecific and Dubious Diagnostic Method Full Text available with Trip Pro

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

2018 Arquivos brasileiros de cardiologia

6. Usefulness of Tilt Testing and Carotid Sinus Massage for Evaluating Reflex Syncope. (Abstract)

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

7. Carotid sinus hypersensitivity syncope: is there a possible alternative approach to pacemaker implantation in young patients? Full Text available with Trip Pro

Carotid sinus hypersensitivity syncope: is there a possible alternative approach to pacemaker implantation in young patients? 28798796 2018 11 13 1734-9338 13 2 2017 Postepy w kardiologii interwencyjnej = Advances in interventional cardiology Postepy Kardiol Interwencyjnej Carotid sinus hypersensitivity syncope: is there a possible alternative approach to pacemaker implantation in young patients? 184-185 10.5114/pwki.2017.67993 Palamà Zefferino Z Cardiology Unit, Policlinico Casilino, Rome

2017 Postępy w kardiologii interwencyjnej = Advances in interventional cardiology

8. Carotid Sinus Syncope

cardiac Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Carotid Sinus Syncope." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Syncope, Carotid Sinus (C0221046) Concepts Disease or Syndrome ( T047 ) MSH ICD9 337.01 ICD10 SnomedCT 51723007 Italian Sindrome del seno carotideo , Sincope del seno carotideo Dutch sinus caroticus syncope , sinus (...) Carotid Sinus Syncope Carotid Sinus Syncope 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 Syncope Carotid Sinus

2018 FP Notebook

9. Carotid sinus hypersensitivity: block of the sternocleidomastoid muscle does not affect responses to carotid sinus massage in healthy young adults Full Text available with Trip Pro

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

2017 Physiological reports

10. Did This Patient Have Cardiac Syncope?: The Rational Clinical Examination Systematic Review

a reference standard such as cardiology consultation; noninvasive cardiac evaluation, such as echocardiography, Holter monitoring, loop monitoring, tilt table testing, or carotid sinus massage; or invasive cardiac evaluation, such as cardiac catheterization or electrophysiologic study, were included 5. Did the authors adequately assess the quality of the included studies? Yes. Studies were designated level 1-3 for quality Level 1 prospective with at least 100 patients (4 studies) Level 2 Prospective (...) Did This Patient Have Cardiac Syncope?: The Rational Clinical Examination Systematic Review 9/4/2020 EVMS JC: Critical Appraisal Worksheet: Systematic Review/Meta-analysis Date: 7/23/20 Reviewer: Lauren Apgar Citation: Albassam OT et al. Did This Patient Have Cardiac Syncope?: The Rational Clinical Examination Systematic Review. JAMA. 2019 Jun 25;321(24):2448-2457. Guide 1. Did the review explicitly address a sensible question? Yes. Assessing the accuracy of the clinical exam for identifying

2020 Emergency Medicine Journal Club

11. CCS Clinical Practice Update on the Assessment and Management of Syncope Full Text available with Trip Pro

with syncope. J Clin Epidemiol. 2000; 53 : 1209-1216 Varosy P.D. Chen L.Y. Miller A.L. et al. 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 College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2017; 70 : 664-679 Arnold (...) ? Register: Institutional Access: References Sheldon R.S. Grubb 2nd, B.P. Olshansky B. et al. 2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope. Heart Rhythm. 2015; 12 : e41-63 Kenny R.A. Brignole M. Dan G.A. et al. Syncope Unit: rationale and requirement--the European Heart Rhythm Association position statement endorsed by the Heart Rhythm Society. Europace. 2015; 17 : 1325-1340

2020 Canadian Cardiovascular Society

12. Syncope

or SPECT/CT MPI rest only Usually Not Appropriate ? ? ? SPECT or SPECT/CT MPI stress only Usually Not Appropriate ? ? ? US duplex Doppler carotid Usually Not Appropriate O US echocardiography transesophageal Usually Not Appropriate O US echocardiography transthoracic resting Usually Not Appropriate O US echocardiography transthoracic stress Usually Not Appropriate O ACR Appropriateness Criteria ® 3 Syncope SYNCOPE Expert Panels on Cardiac Imaging and Neurological Imaging: Seth J. Kligerman, MD (...) on “Chest Pain— Possible Acute Coronary Syndrome” [35] to guide imaging. SPECT or SPECT/CT MPI Stress Only There is no relevant literature that examines the use of Tc-99m SPECT or SPECT/CT MPI stress only study in this clinical scenario. US Duplex Doppler Carotid Multiple studies have shown no benefit of carotid Doppler ultrasound (US) in patients with syncope or presyncope in the absence of neurologic findings or carotid bruit [20,64-66]. US Echocardiography Transesophageal There is no relevant

2020 American College of Radiology

13. Neurally mediated reflex syncope

syncope (VS) refers to a particular type of NMRS also known as the common faint. VS has many manifestations and is generally considered to encompass faints triggered by emotional upset, fear, and pain, as well as those occurring in less well-defined circumstances. Patient education is the foundation of treatment for most NMRS syndromes, including VS. Patients must be informed that, although reflex faints are almost never life-threatening, they tend to recur (often in clusters), and injury can result (...) .0000000000000499 http://www.ncbi.nlm.nih.gov/pubmed/28286247?tool=bestpractice.com Vasovagal syncope (VS) refers to a particular type of NMRS also known as the common faint. History and exam low risk for adverse outcomes hx of recurrent faints provocative factor nausea lightheadedness pallor diaphoresis diminished vision or hearing physical injury fatigue after episode palpitations bradycardia absence of FHx of sudden death neuralgia prior syncope prior history of arrhythmias, myocardial infarction, heart

2018 BMJ Best Practice

14. Self-controllable prodromal symptoms of syncope attributed to carotid sinus syndrome during the end stage of cancer: a case report Full Text available with Trip Pro

Self-controllable prodromal symptoms of syncope attributed to carotid sinus syndrome during the end stage of cancer: a case report Carotid sinus syndrome (CSS) can cause prodromal symptoms of syncope such as dizziness and nausea. Patients with end-stage cancer lose self-efficacy associated with reduced activities of daily life (ADL). Herein, we report a case of end-stage cancer in which self-efficacy was enhanced as the patient gained self-control of prodromal symptoms of syncope.A 70-year-old (...) patient with end-stage esophageal cancer and enlarged supraclavicular lymph nodes developed CSS. The CSS was a mixed type with both bradycardia and decreased blood pressure, accompanied by prodromal symptoms prior to syncope episodes. The patient incidentally discovered that he could decrease the duration of symptoms by contracting the muscles in his hands and legs. By applying this coping method at the onset of prodromal symptoms, he was also able to reduce the severity and duration of symptoms

2016 BioPsychoSocial medicine

15. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope Full Text available with Trip Pro

. Inheritable Arrhythmic Conditions: Recommendations e81 4.3.1. Brugada Syndrome: Recommendations e81 4.3.2. Short-QT Syndrome: Recommendation e82 4.3.3. Long-QT Syndrome: Recommendations e82 4.3.4. Catecholaminergic Polymorphic Ventricular Tachycardia: Recommendations e83 4.3.5. Early Repolarization Pattern: Recommendations e84 5. Reflex Conditions: Recommendations e84 5.1. Vasovagal Syncope: Recommendations e84 5.2. Pacemakers in Vasovagal Syncope: Recommendation e85 5.3. Carotid Sinus Syndrome (...) to October 2015. Key search words included but were not limited to the following: athletes, autonomic neuropathy, bradycardia, carotid sinus hypersensitivity, carotid sinus syndrome, children, death, dehydration, diagnosis, driving, electrocardiogram, electrophysiological study, epidemiology, falls, implantable loop recorder, mortality, older populations, orthostatic hypotension, pediatrics, psychogenic pseudosyncope, recurrent syncope, risk stratification, supraventricular tachycardia, syncope unit

2017 American Heart Association

16. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society Full Text available with Trip Pro

: Recommendation e38 5.3. Carotid Sinus Syndrome: Recommendations e38 5.4. Other Reflex Conditions e38 6. Orthostatic Hypotension: Recommendations e38 6.1. Neurogenic Orthostatic Hypotension: Recommendations e38 6.2. Dehydration and Drugs: Recommendations e39 7. Orthostatic Intolerance e39 8. Pseudosyncope: Recommendations e40 9. Uncommon Conditions Associated with Syncope e40 10. Age, Lifestyle, and Special Populations: Recommendations e40 10.1. Pediatric Syncope: Recommendations e40 10.2. Adult Congenital (...) for incorporation into this guideline. The systematic review report “Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope” is published in conjunction with this guideline. 1.2. Organization of the Writing Committee The writing committee was composed of clinicians with expertise in caring for patients with syncope, including cardiologists, electrophysiologists, an emergency physician, and a pediatric cardiologist. The writing committee included

2017 American Heart Association

17. Syncope: Guideline For Evaluation and Management of Patients With

: Recommendations . e67 4.3.4. Catecholaminergic Polymorphic Ventricular Tachycardia: Recommendations .. ... e68 4.3.5. Early Repolarization Pattern: Recommendations .. ... e69 5.REFLEX CONDITIONS: RECOMMENDATIONS e70 5.1. Vasovagal Syncope: Recommendations .. e70 Shen et al. JACC VOL. 70, NO. 5, 2017 2017 ACC/AHA/HRS Syncope Guideline AUGUST 1, 2017:e39–110 e405.2. Pacemakers in Vasovagal Syncope: Recommendation . e72 5.3. Carotid Sinus Syndrome: Recommendations ... e72 5.4. Other Re?ex Conditions.. e73 6 (...) is characterized by diaphoresis, warmth, nausea, and pallor; 3) is associated with vasodepressor hypotension and/or inappropriate bradycardia; and 4) is often followed by fatigue. Typical features may be absent in older patients (24). VVS is often preceded by identi?able triggers and/or by a characteristic prodrome. The diagnosis is made primarily on the basis of a thorough history, physical examination, and eyewitness observation, if available. n Carotid sinus syndrome Re?ex syncope associated with carotid

2017 American College of Cardiology

18. A Rare Case of Carotid Body Tumor Presenting with Internal Carotid Artery Blood Supply and Carotid Sinus Syndrome Full Text available with Trip Pro

L Lyu Hong H eng Case Reports Letter China Chin Med J (Engl) 7513795 0366-6999 IM Carotid Artery, Internal physiology Carotid Body Tumor blood supply complications surgery Carotid Sinus physiopathology Female Humans Middle Aged Syncope etiology Syndrome 2016 2 17 6 0 2016 2 18 6 0 2017 2 2 6 0 ppublish 26879030 ChinMedJ_2016_129_4_496_176085 10.4103/0366-6999.176085 PMC4800857 J Vasc Surg. 2010 Dec;52(6):1668-70 20864295 J Vasc Surg. 2012 Oct;56(4):979-89 22727841 J Clin Neurosci. 2014 Jul;21(7 (...) A Rare Case of Carotid Body Tumor Presenting with Internal Carotid Artery Blood Supply and Carotid Sinus Syndrome 26879030 2017 02 01 2018 11 13 2542-5641 129 4 2016 Feb 20 Chinese medical journal Chin. Med. J. A Rare Case of Carotid Body Tumor Presenting with Internal Carotid Artery Blood Supply and Carotid Sinus Syndrome. 496-7 10.4103/0366-6999.176085 Li Wen W Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China. Yang Liu

2016 Chinese medical journal

19. Carotid Sinus Syncope

cardiac Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Carotid Sinus Syncope." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Syncope, Carotid Sinus (C0221046) Concepts Disease or Syndrome ( T047 ) MSH ICD9 337.01 ICD10 SnomedCT 51723007 Italian Sindrome del seno carotideo , Sincope del seno carotideo Dutch sinus caroticus syncope , sinus (...) Carotid Sinus Syncope Carotid Sinus Syncope 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 Syncope Carotid Sinus

2015 FP Notebook

20. Recurrent Syncope in Patients with Carotid Sinus Hypersensitivity Full Text available with Trip Pro

Recurrent Syncope in Patients with Carotid Sinus Hypersensitivity Syncope recurrence in pacemaker-implanted subjects for the cardio-inhibitory response to sinus carotid massage (SCM) was investigated. The study-hypothesis was that recurrences had significant vasodepressor responses that could justify the loss of consciousness. Forty-six patients were enrolled (16 patients and 30 controls), followed and revaluated after 5-7 years. At the end of follow-up, significant differences were found (...) their characteristics and have spontaneous and/or provocative symptoms. These data explain the syncopal relapses, and suggest the presence of autonomic dysregulation in individuals with carotid sinus hypersensitivity.

2012 ISRN cardiology

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>