Stephen J. Schueler, M.D.

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Sensitive Carotid Sinus Evaluation

The evaluation of carotid sinus hypersensitivity begins with a medical history and physical examination.

Physical findings in someone with carotid sinus hypersensitivity may include:
The symptoms may be reproduced by a doctor by carefully massaging the carotid sinus in the neck while performing an electrocardiogram. The test is positive if the maneuver stops the heart for at least 3 seconds, or drops the blood pressure by 50 mm of Hg without a decrease in heart rate.

Testing is necessary to confirm the diagnosis of carotid sinus hypersensitivity.

Tests that may be used to evaluate carotid sinus hypersensitivity include:

Continue to Sensitive Carotid Sinus Treatment

Last Updated: Dec 7, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Sensitive Carotid Sinus References
  1. Brignole M. Randomized clinical trials of neurally mediated syncope. J Cardiovasc Electrophysiol. 2003 Sep;14(9 Suppl):S64-9. [12950522]
  2. Freitas J. Carotid sinus syndrome. Management and approach. Rev Port Cardiol. 2004 Jun;23(6):903-10. English, Portuguese. [1537673]
  3. 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 Nov 1;38(5):1491-6. [1169152]
  4. Moore A, Watts M, Sheehy T, Hartnett A, Clinch D, Lyons D. Treatment of vasodepressor carotid sinus syndrome with midodrine: a randomized, controlled pilot study. J Am Geriatr Soc. 2005 Jan;53(1):114-8. [15667387]
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