II. Epidemiology

  1. Most often occurs in patients over age 60 years

III. Category

  1. Carotid Sinus Hypersensitivity

IV. Symptoms: Provocative maneuvers

  1. Head turning
  2. Tight shirt collar
  3. Valsalva Maneuver
  4. Shaving

V. Signs

  1. Electrophysiologic evaluation normal
  2. Carotid Sinus Massage results in one of three findings
    1. Three second sinus pause
      1. Sinus Bradycardia
      2. Atrioventricular Block
    2. Hypotension without Bradycardia
    3. Syncope with normal pulse and Blood Pressure

VI. Differential Diagnosis

VII. Management

  1. Dual chamber cardiac Pacemaker

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Ontology: Syncope, Carotid Sinus (C0221046)

Concepts Disease or Syndrome (T047)
MSH D013575
ICD9 337.01
ICD10 G90.01
SnomedCT 51723007
Italian Sindrome del seno carotideo, Sincope del seno carotideo
Dutch sinus caroticus syncope, sinus caroticus; syncope, syncope; sinus caroticus, syndroom; sinus caroticus, sinus caroticus syndroom
French Syncope du sinus carotidien, Syncope par hyperexcitabilité du sinus carotidien, Syndrome du sinus carotidien, Syndrome d'hyperréflectivité du sinus carotidien, Syndrome sinucarotidien
German Karotissinussynkope, Karotissinus Syndrom
Portuguese Síncope do seio carotídeo, Síndrome carotídeo
Japanese 頚動脈洞症候群, 頚動脈洞性失神, ケイドウミャクドウセイシッシン, ケイドウミャクドウショウコウグン
English carotid sinus syndrome, carotid sinus syndrome (diagnosis), Carotid Sinus Syncope, Carotid Sinus Syncopes, Syncopes, Carotid Sinus, carotid sinus syncope, Carotid sinus syncope, Carotid sinus syndrome, Carotid sinus syncope (disorder), carotid body or sinus syndrome, carotid sinus; syncope, carotid sinus; syndrome, sinus caroticus syncope, sinus caroticus; syncope, syncope; carotid sinus, syndrome; carotid sinus, Syncope, Carotid Sinus
Spanish Síndrome del seno carotídeo, Síncope del seno carotídeo, síncope del seno carotídeo (trastorno), síncope del seno carotídeo, síndrome del seno carotídeo
Czech Synkopa způsobena karotickým sinem, Syndrom karotického sinu, syndrom karotického sinu
Hungarian Carotis sinus syncope, Carotis sinus syndroma
Norwegian Sinus caroticus-synkope, Synkope, sinus caroticus