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Glomectomy in carotid sinus syncope.

C Streian1, D Hudiţeanu

  • 1First Medical Clinic, Timişoara, Romania.

Medecine Interne
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Glomectomy surgery effectively treated carotid sinus hypersensitivity (CSH) and syncope in patients. The procedure significantly improved heart rate, autonomic function, and exercise tolerance, with most patients remaining asymptomatic post-surgery.

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Area of Science:

  • Cardiology
  • Neurosurgery

Background:

  • Carotid sinus hypersensitivity (CSH) frequently causes syncope.
  • Permanent pacemakers are a standard treatment for CSH-induced syncope.

Purpose of the Study:

  • To evaluate the efficacy of glomectomy as a treatment for CSH and syncope.
  • To assess the impact of glomectomy on heart rate, autonomic function, and exercise tolerance.

Main Methods:

  • Carotid sinus massage confirmed CSH in 10 out of 37 syncope patients.
  • Electrophysiologic studies excluded sick sinus syndrome.
  • Glomectomy was performed using Nakayama's technique.

Main Results:

  • Post-operative follow-up (mean 28 months) showed excellent results.

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  • 9 out of 10 patients remained asymptomatic.
  • Significant improvements (p < 0.001) were observed in resting heart rate, autonomic chronotropy, and exercise tolerance.

    • Conclusions:

    • Glomectomy is a highly effective treatment for selected patients with CSH and syncope.
    • The procedure offers significant physiological benefits beyond symptom resolution.