The Cardioinhibitory Carotid Sinus Syndrome

Article1 April 1950THE CARDIOINHIBITORY CAROTID SINUS SYNDROMEARTHUR J. DRAPER, M.D.ARTHUR J. DRAPER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-32-4-700 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOf interest for years as a readily demonstrable etiologic factor in certain cases of syncopal or convulsive attacks, the cardioinhibitory carotid sinus syndrome has itself fallen under suspicion as a manifestation of myocardial disease. This report concerns 11 unselected patients seen by the author within the past year and a half whose presenting complaint was fainting or giddiness and whose symptoms were reproduced by mechanical stimulation of the carotid sinus. A review of the literature, pertinent if not exhaustive, will be attempted before presentation of the cases.SYMPTOMSClinical differentiation of carotid sinus hypersensitivity as a cause of syncope was...Bibliography1. WeissCappsFerris SRBEB: Syncope and convulsions due to a hyperactive carotid sinus reflex, Arch. Int. Med. 58: 407-417, 1936. CrossrefGoogle Scholar2. FerrisCappsWeiss EBRBS: Relation of the carotid sinus to the autonomic nervous system and the neuroses, Arch. Neurol. and Psychiat. 37: 365-384, 1937. CrossrefGoogle Scholar3. Hering HE: Karotissinusreflexe auf Herz und Gefässe von normal physitogischen, pathologisch-physiologischen und klinischer Standpunkt, Dresden, Theodor Steinkopff, 1927: Quoted by Ferris, E. B., Jr., Capps, R. B., and Weiss, S. Google Scholar4. SmithMoersch HLFD: Further study on the hypersensitive carotid reflex syndrome, Proc. Staff Meet., Mayo Clin. 11: 380-383, 1935. Google Scholar5. 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Author, Article, and Disclosure InformationAffiliations: *Received for publication June 24, 1948. 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