Синдром каротидного синуса

Carotid sinus syndrome is a potentially treatable cause of unexplained falls and neurocardiogenic syncope in elderly people, but it is often overlooked in the differential diagnosis of syncope. The diagnostic method of choice is carotid sinus massage, although the prognostic value of positive result has not yet been established. That's why it is important to consider other causes of syncope and associated conditions. The efficiency of the drug therapy of carotid sinus syndrome is not evident. Cardiac pacing is of little value in patients with vasodepressor type of the syndrome and does not influence on the incidence of falls. Permanent cardiac pacing may reduce but not eliminate ones.