Cited by 143Cardiovascular Syncope and Autonomic DisordersHeart Rate Variability and Autonomic ControlVestibular and auditory disorders

Results and complications of the carotid sinus massage performed according to the “method of symptoms”

Puggioni, Enrico, Guiducci, Vincenzo, Brignole, Michele, Menozzi, Carlo, Oddone, Daniele, Donateo, Paolo, Croci, Francesco, Solano, Alberto +3 more·2002·The American Journal of Cardiology

Integrity signals

Registry

Crossref · 10.1016/s0002-9149(01)02303-7

Cites

20 of 20 references verified0 citation errors · 0 not checkable

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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.”
  • 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”
  • 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%).”
  • 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”

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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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