医学
无症状的
按摩
颈动脉窦
随机对照试验
病理生理学
心脏病学
重症监护医学
内科学
病理
替代医学
反射
标识
DOI:10.1016/j.ccl.2012.10.002
摘要
Carotid sinus hypersensitivity was first reported more than 200 years ago. Nevertheless, a complete understanding of this relatively common clinical finding in older patients has proven elusive. There is evidence to support an association between symptoms, particularly syncope, and a hypersensitive response to carotid sinus massage . However, the clinical implication of a high prevalence in asymptomatic healthy older persons is not known. A central degenerative process likely underlies the pathophysiology , but this is as yet unproven. Although selected patients have had symptom improvement with treatment , particularly permanent pacing, there is a dearth of randomized controlled trial data to guide management.
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