SciELO - Scientific Electronic Library Online

 
vol.28 número1Respuesta cardiopulmonar y hematólogica al test de Course Navette de 20 metros en Estudiantes UniversitariosCardiomiopatía dilatada por consumo de anfetaminas: un fenómeno creciente. Reporte de un caso índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Revista mexicana de cardiología

versión impresa ISSN 0188-2198

Resumen

ASENSIO LAFUENTE, Enrique; BARINAGARREMENTERIA ALDATZ, Fernando; ALVAREZ DE LA CADENA SILLAS, Jorge Eduardo  y  LARA VACA, Susano. Hypersensitivity of carotid sinus. A forgotten cause of syncope and falls in the elderly. Rev. Mex. Cardiol [online]. 2017, vol.28, n.1, pp.29-34. ISSN 0188-2198.

Carotid sinus syndrome is a cause of syncope and falls in the elderly that is frequently overlooked because of different reasons, nevertheless it might be present in up to 40% of subjects older than 80 years. Its physiopathology is not clear even if it has many common points with neutrally mediated syncope. Its main feature is that the trigger for the symptoms is the stimulation of the neck’s baro-receptors. The diagnosis is usually clinical and the carotid sinus massage confirms it by reproducing the symptoms when it induces longer than three second asystole or blood pressure drops higher than 50 mmHg. Its treatment has many controversial points and the options are limited when it comes to the vasodepressor variety. In the cardio-inhibitory variety, the most accepted treatment is a pacemaker implant, nonetheless, the recurrence rates still high.

Palabras llave : Syncope; carotid sinus syndrome; falls; elderly; pacemakers.

        · resumen en Español     · texto en Inglés     · Inglés ( pdf )