Carotid Sinus Hypersensitivity in Asymptomatic Older Persons
نویسندگان
چکیده
منابع مشابه
Diagnosis of carotid sinus hypersensitivity in older adults: carotid sinus massage in the upright position is essential.
OBJECTIVE To assess the diagnostic value of supine and upright carotid sinus massage in elderly patients. DESIGN Prospective controlled cohort study. SETTING Three inner city accident and emergency departments and a dedicated syncope facility. PATIENTS 1375 consecutive patients aged > 55 years presenting with unexplained syncope and drop attacks; 25 healthy controls. INTERVENTIONS Bilat...
متن کاملCardiac pacing reduced nonaccidental falls in older adults with cardioinhibitory carotid sinus hypersensitivity.
Patients 175 patients > 50 years of age (mean age 73 y, 59% women) with cardioinhibitory CSH who reported to the emergency department because of a non-accidental fall. Exclusion criteria included cognitive impairment (MiniMental State Examination score < 24), a medical cause for the fall within 10 days of presentation, an accidental fall, blindness, contraindication to carotid sinus massage (CS...
متن کاملCarotid sinus hypersensitivity in patients presenting with syncope.
In 23 patients (ages 44 to 81) presenting with syncope, vertigo, or transient amnesia, carotid sinus massage produced a significant bradycardia in association with symptoms. The 10 most severely symptomatic patients were studied electrophysiologically, including measurement of intracardiac conduction times and corrected sinus node recovery times, as well as with carotid sinus massage before and...
متن کاملRecurrent 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, sign...
متن کاملMayer wave activity in vasodepressor carotid sinus hypersensitivity.
AIMS Mayer waves are low frequency blood pressure waves, whose modulation involves central/peripheral baroreflex pathways. Although vasodepressor carotid sinus hypersensitivity (VDCSH) is a common hypotensive disorder in ageing, the mechanism of VDCSH is unknown. We hypothesize that VDCSH is due to impaired baroreflex function and that Mayer wave amplitude and oscillation frequency are therefor...
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ژورنال
عنوان ژورنال: Archives of Internal Medicine
سال: 2006
ISSN: 0003-9926
DOI: 10.1001/archinte.166.5.515