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carotid sinus massage

Indications: - detection of carotid sinus hypersensitivity - diagnosis & treatment of paroxysmal supraventricular tachycardia Contraindications: 1) elderly 2) patients with carotid bruits 3) bilateral carotid sinus massage should never be performed See vagal maneuver Procedure: - see video [4] Mechanism of action: - maneuver to enhance parasympathetic tone, causing vasodilation, slowing of the heart, & fall of blood pressure through stimulation of the carotid sinus

General

vagal maneuver massage

References

  1. Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
  2. Manual of Medical Therapeutics, 28th ed, Ewald & McKenzie (eds), Little, Brown & Co, Boston, 1995, pg 105,182
  3. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
  4. Pasquier M, Clair M, Pruvot E et al Carotid Sinus Massage. N Engl J Med 2017; 377:e21. October 12, 2017 PMID: 29020587 http://www.nejm.org/doi/full/10.1056/NEJMvcm1313338