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Hypersensitive Carotid Sinus Syndrome Manifested as Cough Syncope
Author(s) -
WENGER THOMAS L.,
DOHRMANN MARY L.,
STRAUSS HAROLD C.,
CONLEY MARTIN J.,
WECHSLER ANDREW S.,
WAGNER GALEN S.
Publication year - 1980
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1980.tb05240.x
Subject(s) - medicine , syncope (phonology) , carotid sinus , cardiology , anesthesia , blood pressure
We describe a patient with cough syncope who was found to have carotid sinus hypersensitivity with mixed cardioinhibitory and vasodepressor responses. Symptoms were ameliorated by denervation of the more hypersensitive carotid sinus. Spontaneous atypical Wenckebach cycles in this patient were caused by the combined hypersensitive cardioinhibitory and vasodepressor responses. This report stresses the importance of checking blood pressure as well as heart rate in all pa‐tients in whom carotid sinus syndrome is suspected.