Carotid sinus massage is a noninvasive bedside procedure indicated for evaluating unexplained syncope in adults over 40 and for diagnosing or treating paroxysmal supraventricular tachycardia, provided contraindications are respected.
Remains useful for syncope evaluation and PSVT diagnosis in adults over 40; leaves open need for updated randomized safety data.
This video reviews the indications and contraindications for and the techniques involved in carotid sinus massage, a noninvasive diagnostic test used to detect carotid sinus hypersensitivity and, in emergencies, to diagnose or treat paroxysmal supraventricular tachycardia.
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Pasquier et al. (2017) studied this question.
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