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Carotid Sinus Syndrome

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Hypotensive Syndromes in Geriatric Patients

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Abstract

Carotid sinus syndrome (CSS) is a disease of the autonomic nervous system in which the hypersensitivity of carotid sinus receptors occurs. Main symptoms of this syndrome involve spontaneous syncope caused by inadvertent pressure on the carotid sinus. The CSS syndrome is rare; it occurs approximately in 1% of patients with documented syncope, mainly in older men. Carotid sinus hypersensitivity (CSH) is diagnosed in patients without a common history of syncope in whom carotid sinus massage (CSM) induces asystole lasting for at least 3 seconds and/or a systolic blood pressure drop by at least 50 mmHg. CSS is an important and often undiagnosed cause of syncope in the elderly.

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Author information

Authors and Affiliations

  1. University Hospital, Clinical Department of Cardiology, Zielona Gora, Poland

    Anna Kasperowicz

  2. Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Lodz, Poland

    Maciej Banach & Agata Bielecka-Dabrowa

  3. Department of Cardiology and Congenital Diseases of Adults, Polish Mother’s Memorial Hospital Research Institute (PMMHRI), Lodz, Poland

    Maciej Banach, Marek Maciejewski & Agata Bielecka-Dabrowa

Authors
  1. Anna Kasperowicz
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  2. Maciej Banach
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  3. Marek Maciejewski
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  4. Agata Bielecka-Dabrowa
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Corresponding author

Correspondence to Agata Bielecka-Dabrowa .

Editor information

Editors and Affiliations

  1. Division of Geriatric Medicine, University of Alberta, Edmonton, AB, Canada

    Kannayiram Alagiakrishnan

  2. Polish Mother’s Memorial Hospital Research Institute (PMMHRI), Lodz, Poland

    Maciej Banach

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Kasperowicz, A., Banach, M., Maciejewski, M., Bielecka-Dabrowa, A. (2020). Carotid Sinus Syndrome. In: Alagiakrishnan, K., Banach, M. (eds) Hypotensive Syndromes in Geriatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-30332-7_3

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  • DOI: https://doi.org/10.1007/978-3-030-30332-7_3

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  • Online ISBN: 978-3-030-30332-7

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