Carotid Sinus Syndrome

被引：10

作者：

Seifer, Colette ^{[1
]}

机构：

[1] Univ Manitoba, St Boniface Hosp, Cardiol Sect, Arrhythmia Serv, Winnipeg, MB R2H 2A6, Canada

来源：

CARDIOLOGY CLINICS | 2013年 / 31卷 / 01期

关键词：

Carotid sinus hypersensitivity; Syncope; Falls; Pacemaker; Aging; CLINICAL CHARACTERISTICS; MANAGEMENT DIAGNOSIS; UNEXPLAINED SYNCOPE; ELDERLY-PATIENTS; OLDER-ADULTS; HEART-RATE; HYPERSENSITIVITY; MASSAGE; VASODEPRESSOR; REFLEX;

D O I：

10.1016/j.ccl.2012.10.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Carotid sinus hypersensitivity was first reported more than 200 years ago. Nevertheless, a complete understanding of this relatively common clinical finding in older patients has proven elusive. There is evidence to support an association between symptoms, particularly syncope, and a hypersensitive response to carotid sinus massage. However, the clinical implication of a high prevalence in asymptomatic healthy older persons is not known. A central degenerative process likely underlies the pathophysiology, but this is as yet unproven. Although selected patients have had symptom improvement with treatment, particularly permanent pacing, there is a dearth of randomized controlled trial data to guide management.

引用

页码：111 / 121

页数：11

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