II. Epidemiology
- Most often occurs in patients over age 60 years
III. Category
- Carotid Sinus Hypersensitivity
IV. Symptoms: Provocative maneuvers
- Head turning
- Tight shirt collar
- Valsalva Maneuver
- Shaving
V. Signs
- Electrophysiologic evaluation normal
-
Carotid Sinus Massage results in one of three findings
- Three second sinus pause
- Hypotension without Bradycardia
- Syncope with normal pulse and Blood Pressure
VI. Differential Diagnosis
- See Syncope Causes
- Vasodepressor Syncope
VII. Management
- Dual chamber cardiac Pacemaker