NEIL L. COPLAN, M.D.
To the editor: The recent editorial on evaluation of syncope (1 ) did not mention the importance of looking for carotid sinus hypersensitivity. Symptomatic carotid sinus hypersensitivity is probably not a common cause of syncope, but the diagnosis should always be considered in patients presenting with transient neurologic symptoms because it is a potentially treatable disorder. Importantly, most patients with "carotid sinus syncope" do not recall a specific motion (for example, turning the head or shaving) immediately before the syncopal episode (2, 3). Thus, the diagnosis may frequently be missed if the physician relies on the patient's history for deciding
COPLAN NL. Carotid Sinus Massage and the Diagnosis of Syncope. Ann Intern Med. ;101:282. doi: 10.7326/0003-4819-101-2-282_1
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Published: Ann Intern Med. 1984;101(2):282.
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