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[A severe stroke following carotid sinus massage]
C E P van Munster1, W J C van Ballegoij, J M Schroeder-Tanka
1VU medisch centrum, afd. Neurologie, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|April 6, 2017
Summary
Carotid sinus massage for supraventricular tachycardia can lead to rare but severe neurological complications like stroke. Consider alternative diagnostic methods and investigate carotid stenosis in older patients with vascular risk factors.
Area of Science:
- Cardiology
- Neurology
Background:
- Carotid sinus massage is a common diagnostic and therapeutic tool for supraventricular tachycardia and carotid sinus hypersensitivity.
- Neurological complications, though rare, can occur, with carotid stenosis identified as a significant risk factor.
- Auscultation for carotid bruits is an insufficient method for detecting stenosis, a contraindication for the procedure.