Article Text

Reminder of important clinical lesson
Age indications for carotid sinus massage: a case for maintaining the status quo?
  1. David Andrew Richardson
  1. Wansbeck General Hospital, Medicine, Woodhorn Lane, Ashington, NE61 6PE, UK
  1. david.richardson{at}northumbria-healthcare.nhs.uk

Summary

A 43-year-old man was referred with a history of unexplained falls associated with transient loss of consciousness. He had evidence of cardioinhibitory carotid sinus hypersensitivity (CSH) on carotid sinus massage and subsequently confirmed to have periods of symptomatic asystole on an implantable loop recorder, consistent with a diagnosis of cardioinhibitory CSH.

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Footnotes

  • Competing interests: I have attended conferences sponsored by Medtronic who make the Reveal implantable loop recorder.

  • Patient consent: Patient/guardian consent was obtained for publication.