Carotid sinus massage. Its diagnostic and therapeutic value in arrhythmias

Carotid sinus massage is a simple bedside maneuver that helps to clarify the type and sometimes also the mechanism of different rhythm disturbances. The major indication for carotid sinus massage is the diagnosis of tachyarrhythmias In which the atrial activity is either absent or intermittently pre...

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Bibliographic Details
Published inThe American Journal of Medicine Vol. 78; no. 4; pp. 645 - 654
Main Authors Schweitzer, Paul, Teichholz, Louis Evan
Format Book Review Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.04.1985
Elsevier
Subjects
Aged
Arrhythmias, Cardiac - diagnosis
Arrhythmias, Cardiac - physiopathology
Arrhythmias, Cardiac - therapy
Biological and medical sciences
Cardiac dysrhythmias
Cardiac Pacing, Artificial
Cardiology. Vascular system
Carotid Artery Diseases - etiology
Carotid Sinus - innervation
Carotid Sinus - physiopathology
Electrocardiography
Heart
Heart Conduction System - physiopathology
Heart Rate
Humans
Massage - adverse effects
Medical sciences
Middle Aged
Pressoreceptors - physiopathology
Reflex
Tachycardia - etiology
Ventricular Fibrillation - etiology
Heart
Human
Tachycardia
Arrhythmia
Various treatments
Cardiovascular disease
Diagnostic
Massage
Carotid sinus
Sympathic nervous system
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Summary:Carotid sinus massage is a simple bedside maneuver that helps to clarify the type and sometimes also the mechanism of different rhythm disturbances. The major indication for carotid sinus massage is the diagnosis of tachyarrhythmias In which the atrial activity is either absent or intermittently present. Carotid sinus massage Is also useful in some patients with normal heart rates; increased vagal tone may normalize a bundle branch block or localize the site of type I second-degree atrioventricular block and can be used for evaluation of the sensing function of permanent pacemakers. Carotid sinus massage is also an important diagnostic procedure In patients with suspected hypersensitivity of the carotid sinus. Massage of the carotid sinus is contraindicated in patients with diseased carotid arteries because of the risk of cerebrovascular accident. In rare instances, carotid sinus massage may initiate ventricular tachycardia.
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ISSN:0002-9343
1555-7162
DOI:10.1016/0002-9343(85)90408-5