Swallow-induced syncope and carotid sinus hypersensitivity: Coincident or associated conditions?
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Keywords:
Cerebral Hypoperfusion
Pathophysiology
Carotid sinus
Sinus bradycardia
Sinus (botany)
Cerebral Hypoperfusion
Culprit
Hypovolemia
Etiology
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Syncope is a transient loss of consciousness due to cerebral hypoperfusion, characterised by rapid onset, short duration and spontaneous complete recovery. The causes range from self-limiting episodes of reflex syncope to conditions that can precede severe illness or death. GPs often provide the first assessment of patients with syncope and this article aims to guide the assessment of these patients to help identify the cause. This will include exploring the common causes of syncope, history taking, examination, investigations, red flags in syncope and management.
Cerebral Hypoperfusion
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Limiting
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Carotid sinus syndrome is the most commonly reported cause of falls and syncope in elderly adults. However, it has been rarely reported in Koreans, and the reason of this ethnic difference is unknown. We report here on an Korean unusual case of carotid sinus syncope and this was induced by carotid sinus massage. (Korean Circ J 2008;38:561-563)
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