Results and complications of the carotid sinus massage performed according to the “method of symptoms”
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The diagnosis of carotid sinus syndrome requires both the reproduction of spontaneous symptoms during carotid sinus massage and clinical features of spontaneous syncope compatible with a reflex mechanism.
“There is strong consensus that the diagnosis of CSS requires both the reproduction of spontaneous symptoms during CSM and clinical features of spontaneous syncope compatible with a reflex mechanism.”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [90]
Carotid sinus hypersensitivity is exceptional in patients younger than 40 years of age.
“Carotid sinus hypersensitivity is exceptional in patients <40 years of age. 90”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [90]
When pooling data from four studies in which 8720 patients were analysed, transient ischaemic attacks or strokes were observed in 21 patients (0.24%) after carotid sinus massage.
“When pooling the data from four studies 90,95-97 in which 8720 patients were analysed, TIAs or strokes were observed in 21 (0.24%).”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [90]
In a single-centre registry of 169 consecutive patients treated with pacemakers, the actuarial estimate of syncopal recurrence was 7% at 1 year, 16% at 3 years, and 20% at 5 years.
“In a single-centre registry of 169 consecutive patients treated with pacemakers, the actuarial estimate of syncopal recurrence was 7% at 1 year, 16% at 3 years, and 20% at 5 years. 90”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [90]
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Developed in collaboration with, European Heart Rhythm Association (EHRA), Heart Failure Association (HFA), and Heart Rhythm Society (HRS), societies, E. B. T. F., European Society of Emergency Medicine (EuSEM), European Federation of Internal Medicine (EFIM), European Union Geriatric Medicine Society (EUGMS), American Geriatrics Society (AGS), European Neurological Society (ENS), et al. (2009) · European Heart Journal · doi:10.1093/eurheartj/ehp298 · Cited by 2,040 · see citing works
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- Authors
- Puggioni, E., Guiducci, V., Brignole, M., Menozzi, C., Oddone, D., Donateo, P., Croci, F., Solano, A., Lolli, G., Tomasi, C., & Bottoni, N.
- Affiliations
- Santa Maria Nuova Hospital (IT)
- Corresponding author
- Puggioni, Enrico
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2002-03
- Volume
- 89
- Issue
- 5
- Pages
- 599-601
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2057694421
- Cited by
- 143
- References
- 20
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 9 · 2017: 8 · 2016: 8 · 2015: 3 · 2014: 15 · 2013: 7 · 2012: 5
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- carotid sinus massage, syncope, vasovagal syncope, tilt table test, cardioinhibition, vasodepression, procedural complications, asystole, blood pressure reduction
- MeSH terms
- Contraindications, Adult, Aged, Blood Pressure, Carotid Sinus, Diagnosis, Differential, Electrocardiography, Female, Humans, Male, Massage, Middle Aged, Predictive Value of Tests, Retrospective Studies, Syncope
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