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

Images: Related links to external sites (from Bing)

Related Studies