Carotid sinus hypersensitivity - A modifiable risk factor for fractured neck of femur

Age and Ageing

Volumn 28, Issue 2, 1999, Pages 127-133

  Ward, Christopher R ^a   McIntosh, Shona ^a   Kenny, Rose Anne ^a  

^a ROYAL VICTORIA INFIRMARY   (United Kingdom)

Author keywords

Carotid sinus hypersensitivity; Falls; Fractured neck of femur

Indexed keywords

AGED; ARTICLE; BLOOD PRESSURE MEASUREMENT; CAROTID SINUS SYNDROME; COGNITION; CONTROLLED STUDY; ECONOMIC EVALUATION; FALLING; FEMALE; FEMUR NECK FRACTURE; HEALTH CARE COST; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; PHYSICAL CAPACITY; PRIORITY JOURNAL; RISK ASSESSMENT; RISK FACTOR; SYNCOPE; SYSTOLIC BLOOD PRESSURE; VERTIGO;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; BLOOD PRESSURE; CAROTID SINUS; CASE-CONTROL STUDIES; FEMALE; FEMORAL NECK FRACTURES; FOLLOW-UP STUDIES; HEART RATE; HUMANS; HYPERSENSITIVITY; MALE; PROSPECTIVE STUDIES; RISK FACTORS; SYNCOPE;

EID: 0032938548     PISSN: 00020729     EISSN: None     Source Type: Journal    
DOI: 10.1093/ageing/28.2.127     Document Type: Article

References (25)

1. Office of Population Censuses and Surveys. Hospital In-patient Enquiry. London: HMSO, 1987.
2. Lewis FA. Fracture of neck of the femur, changing incidence. Br Med J 1981; 283: 1217-20.
3. Evans JG. Fractured proximal femur in Newcastle upon Tyne. Age Ageing 1979; 8: 16-24.
4. Lauritzen JB. Hip fractures: incidence, risk factors, energy absorption and prevention. Bone 1996; 18: 65-75S.
5. Campbell AJ, Borrie MJ, Spears GF, Jackson SL, Brown JS, Fitzgerald JL. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing 1990; 19: 136-41.
6. Boyce WJ, Vessey MP. Rising incidence of fracture of the proximal femur. Lancet 1985; 1: 150-1.
7. Nevitt MC, Cummings SR. Type of fall and risk of hip and wrist fractures: the study of ostcoporotic fractures. J Am Geriatr Soc 1993; 41: 1226-34.
8. Kenny RA. Falls and syncope. In Grimley Evans J, Williams TF, eds. Oxford Textbook of Geriatric Medicine, 2nd edition. Oxford: Oxford University Press, 1998; 4.4.
9. McIntosh SJ, Lawson J, Kenny RA. Clinical characteristics of vasodepressor, cardioinhibitory and mixed carotid sinus syndrome in the elderly. Am J Med 1993; 95: 203-8.
10. Blessed G, Tomlinson BE, Roth M. The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. Br J Psychol 1968; 114: 797-811.
11. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J 1965; 14: 61-5.
12. Lipsitz LA, Wei JY, Rowe JW. Syncope in an elderly institutionalised population prevalence, incidence and associated risk. Q J Med 1985; 55: 45-54.
13. McIntosh S, da Costa D, Kenny RA. Outcome of an integrated approach to the investigation of dizziness, falls and syncope in elderly patients referred to a syncope clinic. Age Ageing 1993; 22: 53-8.
14. Dehn TCB, Morley CA, Sutton R. A scientific evaluation of the carotid sinus syndrome Cardiovasc Res 1984; 18: 746-51.
15. Kenny RA, Traynor G. Carotid sinus syndrome - clinical characteristics in elderly patients. Age Ageing 1991; 20: 449-54.
16. Murphy AL, Rowbotham BJ, Boyle RS, Thew CM, Fardoulys JA, Wilson K. Carotid sinus hypersensitivity in elderly nursing home patients. Aust NZ Med 1986; 16: 24-7.
17. Munro N, McIntosh S, Lawson J, Morley CA, Sutton R, Kenny RA. The incidence of complications after carotid sinus massage in older patients with syncope. J Am Geriatr Soc 1994; 42: 1248-51.
18. Strasberg B, Sagie A, Erdman S, Kusniec J, Sclarovsky S, Agmon J. Carotid sinus hypersensitivity and the carotid sinus syndrome. Prog Cardiovasc Dis 1989; 31: 379-91.
19. Sigler LH. The hyperactive cardioinhibitory carotid sinus reflex as an aid in the diagnosis of coronary disease. N Engl J Med 1942; 226: 46-51.
20. McIntosh SJ, da Costa D, Lawson J, Kenny RA. Heart rate and blood pressure responses to carotid sinus massage in healthy elderly subjects. Age Ageing 1994; 23: 57-61.
21. Wentink JRM, Jansen RWMW, Hoefnagels WHL. The influence of age as the response of blood pressure and heart rate to carotid sinus massage in healthy volunteers. Cardiol Elderly 1993; 1: 453-9.
22. Hudson WM, Morley CA, Perrins EJ, Sutton R. Is a hypersensitive carotid sinus reflex relevant? Pace 1983; 6: A18.
23. Morley CA, Perrins EJ, Grant P, Chan SL, McRien DJ, Sutton R. Carotid sinus syncope treated by pacing. Analysis of persistent symptoms and role of atrioventricular sequential pacing. Br Heart J 1982; 47: 411-8.
24. British Pacing and Electrophysiology Group. Recommendations for pacemaker prescription for symptomatic bradycardia. Br Heart J 1991; 66: 185-91.
25. da Costa D, McIntosh SJ, Kenny RA. Benefits of fludrocortisone in the treatment of symptomatic vasodepressor carotid sinus syndrome. Br Heart J 1993; 69: 308-10.