Cardioinhibitory carotid sinus hypersensitivity predicts an asystolic mechanism of spontaneous neurally mediated syncope

Europace

Volumn 9, Issue 8, 2007, Pages 563-567

  Maggi, Roberto ^a   Menozzi, Carlo ^b   Brignole, Michele ^a   Podoleanu, Cristian ^a   Iori, Matteo ^b   Sutton, Richard ^c   Moya, Angel ^d   Giada, Franco ^e   Orazi, Serafino ^f   Grovale, Nicoletta ^g  

^a DEPARTMENT OF CARDIOLOGY   (Italy)

^b S MARIA NUOVA HOSPITAL   (Italy)

^c ROYAL BROMPTON AND HAREFIELD NHS FOUNDATION TRUST   (United Kingdom)

^d HOSPITAL UNIVERSITARI VALL D HEBRON   (Spain)

^e Ospedale Umberto I   (Italy)

^f SAN CAMILLO DE LELLIS HOSPITAL   (Italy)

^g MEDTRONIC INC   (United States)

Author keywords

Carotid sinus hypersensitivity; Carotid sinus massage; Diagnosis; Electrocardiographic monitoring; Implantable loop recorder; Syncope

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL HEART PACEMAKER; ASYSTOLE; CARDIOVASCULAR SYSTEM EXAMINATION; CAROTID SINUS HYPERSENSITIVITY; CAROTID SINUS MASSAGE; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC VALUE; FEMALE; FOLLOW UP; HEART PACING; HEART RHYTHM; HEART SOUND RECORDER; HUMAN; MALE; PATIENT SELECTION; PRESYNCOPE; PRIORITY JOURNAL; RECURRENT DISEASE; RISK REDUCTION; SINUS ARREST; SYNCOPE;

ADENOSINE; AGED; ATRIOVENTRICULAR NODE; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; SICK SINUS SYNDROME; SINOATRIAL NODE; SYNCOPE, VASOVAGAL; VASODILATOR AGENTS;

EID: 34547942133     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/eum092     Document Type: Article

References (22)

1. Moya A, Brignole M, Menozzi C, Garcia-Civera R, Tognarini S, Mont L et al. Mechanism of syncope in patients with isolated syncope and in patients with tilt-positive syncope. Circulation 2001;104 1261-7.
2. Krahn AD, Klein GJ, Yee R, Takle-Newhouse T, Norris C. Use of an extended monitoring strategy in patients with problematic syncope. Reveal investigators. Circulation 1999;99:406-10.
3. Krahn A, Klein G, Yee R, Skanes AC. Randomized assessment of syncope trial. Conventional diagnostic testing versus a prolonged monitoring strategy. Circulation 2001;104:46-51.
4. Farwell D, Freemantle N, Sulke N. Use of implantable loop recorders in the diagnosis and management of syncope. Eur Heart J 2004;25 1257-63.
5. Brignole M, Sutton R, Menozzi C, Garcia-Civera R, Moya A, Wieling W et al. Early application of an implantable loop recorder allows a mechanism-based effective therapy in patients with recurrent suspected neurally-mediated syncope. Eur Heart J 2006;27:1085-92.
6. Brignole M, Sutton R, Menozzi C, García-Civera R, Moya A, Wieling W et al. Lack of correlation between the responses to tilt testing and adenosine triphosphate test and the mechanism of spontaneous neurally-mediated syncope. Eur Heart J 2006;27:2232-9.
7. Deharo JC, Jego C, Lanteaume A, Dijane P. An implantable loop recorder study of highly symptomatic vasovagal patients: The heart rhythm observed during a spontaneous syncope is identical to the recurrent syncope but not correlated with the head-up tilt test or ATP test. J Am Coll Cardiol 2006;47:587-93.
8. Donateo P, Brignole M, Menozzi C, Bottom N, Alboni P, Dinelli M et al. Mechanism of syncope in patients with positive adenosine triphosphate tests. J Am Coll Cardiol 2003;41:93-8.
9. Brignole M, Alboni P, Benditt DG, Bergfeldt L, Blanc JJ, Thomsen PE et al. Guidelines on management (diagnosis and treatment) of syncope - Update 2004 - Executive summary and recommendations. Eur Heart J 2004;25:2054-72.
10. Brignole M, Alboni P, Benditt DG, Bergfeldt L, Blanc JJ, Thomsen PE et al. Guidelines on management (diagnosis and treatment) of syncope - Update 2004. Europace 2004;6:467-537.
11. Brignole M, Moya A, Menozzi C, Garcia-Civera R, Sutton R. Proposed electrocardiographic classification of spontaneous syncope documented by an implantable loop recorder. Europace 2005;7:14-8.
12. Menozzi C, Brignole M, Lolli G, Bottoni N, Oddone D, Gianfranchi L et al. Follow-up of asystolic episodes in patients with cardioinhibitory, neurally mediated syncope and VVI pacemaker. Am J Cardiol 1993;72:1152-5.
13. Voss DM, Magnin GE. Demand pacing and carotid sinus syncope. Am Heart J 1970;79:544-7.
14. Peretz DP, Gerein AN, Miyagishima RT. Permanent demand pacing for hypersensitive carotid sinus syndrome. Can Med Assoc J 1973; 108:1131-4.
15. Morley CA, Perrins EJ, Chan SL, Sutton R. Long-term comparison of DVI and VVI pacing in carotid sinus syndrome. In: Steinbach et al., eds. Proceedings of "VII World Symposium on Cardiac Pacing", 1983:929-35.
16. Stryjer D, Friedensohn A, Schlesinger Z. Ventricular pacing as the preferable mode for long-term pacing in patients with carotid sinus syncope of the cardioinhibitory type. Pacing Clin Electrophysiol 1986;9:705-9.
17. Blanc JJ, Boschat J, Penther Ph. Hypersensibilité sino-carotidienne. Evolution à moyen terme en fonction du traitement et de ses symptômes. Arch Mal Cœur 1984;77:330-6.
18. Brignole M, Menozzi C, Lolli G, Bottoni N, Giaggioli G. Long-term outcome of paced and non paced patients with severe carotid sinus syndrome. Am J Cardiol 1992;69:1039-43.
19. Brignole M, Gigli G, Altomonte F, Barra M, Sartore B, Prato R et al. The cardioinhibitory reflex evoked by carotid sinus stimulation in normal and in patients with cardiovascular disorders. Giornale Italiano di Cardiologia 1985;15:514-9.
20. Brown KA, Maloney JA, Smith HC, Haritzler GO, Ilstrup DM. Carotid sinus reflex in patients undergoing coronary angiography: Relationship of degree and location of coronary artery disease to response to carotid sinus massage. Circulation 1980;62:697-703.
21. Kenny RA, Richardson DA, Steen N, Bexton RS, Shaw FE, Bond J. Carotid sinus syndrome: A modifiable risk factor for nonaccidental falls in older adults (SAFE PACE). J Am Coll Cardiol 2001;1:1491-6.
22. Puggioni E, Guiducci V, Brignole M, Menozzi C, Oddone D, Donateo P et al. Results and complications of the carotid sinus massage performed according to the "method of symptoms". Am J Cardiol 2002:89 599-601.