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Hypersensitive carotid sinus syndrome

Authoring team

Carotid sinus hypersensitivity (CSH) often manifests as syncope and results from an exaggerated response of hypersensitive baroreceptors within the carotid sinus when stimulated. This causes periods of inappropriately high vagal tone and sympathetic suppression.

The diagnosis is frequently made in:

  • men over 50
  • patients with atherosclerosis and hypertension

Reference

  1. de Lange FJ et al. Carotid sinus massage in clinical practice: the Six-Step-Method. Europace. 2024 Nov 01;26(11)

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