Skip to main content

Performing Carotid Sinus Massage

  • Conference paper
  • 432 Accesses

Abstract

Carotid sinus syndrome is a frequent cause of syncope, especially in the elderly. The initial evaluation for this condition consists of a patient history, physical examination, standard electrocardiogram (ECG) and systemic blood pressure measurement in the supine and upright positions. If the origin of syncope remains uncertain, carotid sinus massage (CSM) together with the tilt test becomes the method of choice to unmask neuromediated syncopes.

Keywords

  • Upright Position
  • Carotid Sinus
  • Cardiac Pace
  • Sick Sinus Syndrome
  • Unexplained Syncope

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-88-470-0636-2_20
  • Chapter length: 7 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   149.00
Price excludes VAT (USA)
  • ISBN: 978-88-470-0636-2
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   189.00
Price excludes VAT (USA)
Hardcover Book
USD   179.99
Price excludes VAT (USA)

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mc Intosh SJ, Lawson J, Kenny RA (1993) Clinical characteristics of vasodepressor, cardioinhibitory and mixed carotid sinus syndrome in the elderly. Am J Med 95:203–208

    CrossRef  CAS  Google Scholar 

  2. Graux P, Mekerke W, Lemaire N et al (1989) Le syndrome du sinus carotidien. Apport de la monitorisation de la pression arterielle a l’exploration electrophysiologique endocavitaire. Arch Mal Coeur 82:193–199

    PubMed  CAS  Google Scholar 

  3. Huang SKS, Ezri MD, Honser RG, Denes P (1988) Carotid sinus hypersensitivity in patients with unexplained syncope: clinical, electrophysiologic, and long-term follow-up observation. Am Heart J 116:989–996

    PubMed  CrossRef  CAS  Google Scholar 

  4. Volkmann H, Schnerch B, Kuhnert H (1990) Diagnostic value of carotid sinus hypersensitivity. Pacing Clin Electrophysiol 13:2065–2070

    PubMed  CAS  Google Scholar 

  5. Parry SW, Richardson D, O’Shea D et al (2000) Diagnosis of carotid sinus hypersensitivity in older adults: carotid sinus massage in the upright position is essential. Heart 83:22–23

    PubMed  CrossRef  CAS  Google Scholar 

  6. Brignole M, Sartore B, Prato R (1983) Role of body position during carotid sinus stimulation test in the diagnosis of cardioinhibitory carotid sinus syndrome. G Ital Cardiol 14:69–72

    Google Scholar 

  7. Thomas JE (1969) Hyperactive carotid sinus reflex and carotid sinus syncope. Mayo Clin Proc 44:127–139

    PubMed  CAS  Google Scholar 

  8. Brignole M, Menozzi C, Lolli G et al (1992) Long-term outcome of paced and non paced patients with severe carotid sinus syndrome. Am J Cardiol 69:1039–1043

    PubMed  CrossRef  CAS  Google Scholar 

  9. Brignole M, Menozzi C (1992) Carotid sinus syndrome: diagnosis, natural history and treatment. Eur J Cardiac Pacing Electrophysiol 4:247–254

    Google Scholar 

  10. Brignole M, Menozzi C, Gianfranchi L et al (1991) Carotid sinus massage, eyeball compression and head-up tilt test in patients with syncope of uncertain origin and in healthy control subjects. Am Heart J 122:1644–1651

    PubMed  CrossRef  CAS  Google Scholar 

  11. Brignole M, Menozzi C, Gianfranchi L et al (1991) Neurally mediated syncope detected by carotid sinus massage and head-up tilt test in sick sinus syndrome. Am J Cardiol 68:1032–1036

    PubMed  CrossRef  CAS  Google Scholar 

  12. Puggioni E, Guiducci V, Brignole M et al (2002) Results and complications of the carotid sinus massage performed according to the “Methods of Symptoms”. Am J Cardiol 89:599–601

    PubMed  CrossRef  Google Scholar 

  13. Gaggioli G, Brignole M, Menozzi C et al (1995) Reappraisal of the vasodepressor reflex in carotid sinus syndrome. Am J Cardiol 75:518–521

    PubMed  CrossRef  CAS  Google Scholar 

  14. Brignole M, Menozzi C, Lolli G et al (1991) Validation of a method for choice of pacing mode in carotid sinus syndrome with or without sinus bradycardia. Pacing Clin Electrophysiol 14:196–203

    PubMed  CrossRef  CAS  Google Scholar 

  15. Munro N, McIntosh S, Lawson J et al (1994) The incidence of complications after carotid sinus massage in older patients with syncope. J Am Geriatr Soc 42:1248–1251

    PubMed  CAS  Google Scholar 

  16. Davies AG, Kenny RA (1998) Neurological complications following carotid sinus massage. Am J Cardiol 81:1256–1257

    PubMed  CrossRef  CAS  Google Scholar 

  17. Franke H (1963) Uber das karotissinus-syndrome und den sogennanten hyperactiven karotissinus reflex. Fridrich-Kave Schattaueur, Stuttgart

    Google Scholar 

  18. Brignole M, Alboni P, Benditt DG et al (2004) Guidelines on management (diagnosis and treatment) of syncope — Update 2004. Europace 6:467–537

    PubMed  CrossRef  Google Scholar 

  19. Kapoor W, Snustad D, Peterson J et al (1986) Syncope in the elderly. Am J Med 80:419–427

    PubMed  CrossRef  CAS  Google Scholar 

  20. Mathias CJ, Deguchi K, Schatz I (2001) Observation on recurrent syncope and presyncope in 641 patients. Lancet 357:348–353

    PubMed  CrossRef  CAS  Google Scholar 

  21. Ammirati F, Colivicchi F, Santini M (2000) Diagnosing syncope in clinical practice. Eur Heart J 21:935–940

    PubMed  CrossRef  CAS  Google Scholar 

  22. Morley CA, Perrins EJ, Chan SL, Sutton R (1983) Long-term comparison of DVI and VVI pacing in carotid sinus syndrome. In: Steinbach K (ed) Proceedings of the VII World Symposium on Cardiac Pacing. Steinkopff Verlag, Darmstadt, pp 929–935

    Google Scholar 

  23. Stryjer D, Friedensohn A, Schlesinger Z (1986) Ventricular pacing as the preferable mode for lomg-term pacing in patients with carotid sinus syncope of the cardioinhibitory type. Pacing Clin Electrophysiol 9:705–709

    PubMed  CrossRef  CAS  Google Scholar 

  24. Blanc JJ, Boshat J, Penther Ph (1984) Hypersensibilité sino-carotidienne. Evolution à moyen terme en fonction du traitement et de ses symptomes. Arch Mal Coeur 77:330–336

    PubMed  CAS  Google Scholar 

  25. Maggi R, Menozzi C, Brignole M et al (2007) Cardioinhibitory carotid sinus hypersensitivity predicts an asystolic mechanism of spontaneous neurally-mediated syncope. Europace (in press)

    Google Scholar 

  26. Brignole M, Moya A, Menozzi C et al (2005) Proposed electrocardiographic classification of spontaneous syncope documented by an implantable loop recorder. Europace 7:14–18

    PubMed  CrossRef  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2007 Springer-Verlag Italia

About this paper

Cite this paper

Maggi, R., Brignole, M. (2007). Performing Carotid Sinus Massage. In: Gulizia, M.M. (eds) Current News in Cardiology. Springer, Milano. https://doi.org/10.1007/978-88-470-0636-2_20

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-0636-2_20

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0635-5

  • Online ISBN: 978-88-470-0636-2

  • eBook Packages: MedicineMedicine (R0)