ABC | Volume 111, Nº1, July 2018

Original Article Wu et al Carotid sinus massage in syncope evaluation Arq Bras Cardiol. 2018; 111(1):84-91 1. Humm AM, Mathias CJ. Unexplained syncope –is screening for sinus hypersensitivity indicated in all patients aged over 40 years? J Neurol Neurosurg Psychiatry. 2006;77(11):1267-70. doi: 10.1136/ jnnp.2006.093518. 2. McIntosh S, Da Costa D, Kenny RA. Outcome of an integrated approach to the investigation of dizziness, falls and syncope in elderly patients referred to a ‘syncope’ clinic. Age Ageing. 1993;22(1):53-8. doi: 10.1093/ ageing/22.1.53. 3. McIntosh SJ, Lawson J, Kenny RA. Clinical characteristics of vasodepressor, cardioinhibitory, andmixed carotid sinus syndrome in the elderly. Am J Med. 1993;95(2):203-8. PMID: 8356984. 4. Graux P, Mekerke W, Lemaire N, Beaugeard D, Cornaert P, Dubeaux PA, et al. [Carotid sinus syndrome. Contribution of arterial pressure monitoring to intracavitary electrophysiological exploration]. Arch Mal Coeur Vaiss. 1989;82(2):193-9. PMID: 2500079. 5. Huang SK, Ezri MD, Hauser RG, Denes P. Carotid sinus hypersensitivity in patientswithunexplainedsyncope:clinical,electrophysiologic,and long-term follow-up observation. AmHeart J. 1988;116(4):989-96. PMID: 3177198. 6. Volkmann H, Schnerch B, Kuhnert H. Diagnostic value of carotid sinus hypersensitivity. Pacing Clin Electrophysiol. 1990;13(12 Pt 2):2065-70. doi: 10.1111/j.1540-8159.1990.tb06943.x. 7. Kumar NP, Thomas A, Mudd P, Morris RO, Masud T. The usefulness of carotid sinus massage in different patients groups. Age Ageing. 2003;32(6):666-9. doi: https://doi.org/10.1093/ageing/afg114. 8. Richardson DA, Bexton RS, Shaw FE, Kenny RA. Prevalence of cardioinhibitory carotid sinus hypersensitivity in patients 50 years or over presenting to the accident and emergency department with “unexplained” or “recurrent” falls. Pacing Clin Electrophysiol. 1997;20(3 Pt 2):820-3. doi: 10.1111/j.1540-8159.1997.tb03912.x. 9. Bringnole M, Menozzi C. Methods other than tilt testing for diagnosing neurocardiogenic (neurally mediated) syncope. Pacing Clin Electrophysiol. 1997;20(3 Pt 2):795-800. doi: 10.1111/j.1540-8159.1997.tb03906.x. 10. Brignole M, Gigli G, Altomonte F, Barra M, Sartore B, Prato R, et al. [Cardioinhibitory reflex provoked by stimulation of carotid sinus in normal subjects and those with cardiovascular disease]. G Ital Cardiol. 1985;15(5):514-9. PMID: 4054489. 11. Brown KA, Maloney JA, Smith HC, Haritzler GO, Ilstrup DM. Carotid sinus reflex in patients undergoing coronary angiography: relationship of degree and location of coronary artery disease to response to carotid sinus massage. Circulation. 1980;62(4):697-703. doi: https://doi. org/10.1161/01.CIR.62.4.697. 12. Wieling W, Krediet CT, Solari D, de Lange FJ, Dijk N, Thijs RD, et al. At the heart of the arterial baroreflex: a physiological basis for a new classification of carotid sinus hypersensitivity. J Intern Med. 2013;273(4):345-58. doi: 10.1111/joim.12042. 13. Solari D, Maggi R, OddoneD, Solano A, Croci C, Donateo P, et al Assessment of the Vasodepressor Reflex in Carotid Sinus Syndrome. Circ Arrhythm Electrophysiol. 2014;7(3):505-10. doi: 10.1161/CIRCEP.113.001093. 14. SilkeB,McAuleyD.Accuracyandprecisionofbloodpressuredeterminations with the Finapres: an overviewusing re-sampling statistics. J HumHypertens. 1998;12(6)403-9. doi: 10.1038/sj.jhh.1000600. 15. Parati G, Casadei R, Groppelli A, Di Rienzo M, Mancia G. Comparison of finger and intra-arterial blood pressure monitoring at rest and during laboratory testing. Hypertension. 1989;13(6 Pt 1):647-55. doi: https://doi. org/10.1161/01.HYP.13.6.647. 16. Parati G, Ongaro G, Bilo G, Glavina F, Castiglioni P, Di Rienzo M, et al. Non- invasive beat-to-beat blood pressure monitoring: new developments. Blood Press Monit. 2003;8(1):31-6. doi: 10.1097/01. mbp.0000057014.67622.59. 17. The consensus Committee of the American Autonomic Society and the American Academy of Neurology. Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. Neurology. 1996;46(5):1470. doi: https://doi.org/10.1212/ WNL.46.5.1470. 18. Morillo CA, Camacho ME, Wood MA, Gilligan DM, Ellenbogen KA. Diagnostic utility of mechanical pharmacological and orthostatic stimulation of the carotid sinus in patient with unexplained syncope. J Am Coll Cardiol. 1999;34(5):1587-94. doi: https://doi.org/10.1016/S0735- 1097(99)00365-4. 19. MoyaA,SuttonR,AmmiratiF,Blanc JJ,BrignoleM,Dahm JB,etal.Guidelines of the diagnosis and management of syncope (version 2009). Eur Heart J. 2009;30(21):2631-71. doi: 10.1093/eurheartj/ehp298. References the initially supine positive test were thus 74% and 100%, respectively, while the upright positive test had 100% specificity and sensitivity. For this reason, we performed CSM only in the orthostatic position in this study. Author contributions Conception and design of the research e Analysis and interpretation of the data: Wu TC, Hachul DT; Acquisition of data, Statistical analysis, Obtaining financing and Writing of the manuscript: Wu TC; Critical revision of the manuscript for intellectual content: Wu TC, Hachul DT, Darrieux FCC, Scanavacca MI. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This article is part of the thesis of Doctoral submitted by Tan Chen Wu, from Faculdade de Medicina da Universidade de São Paulo. Ethical approval and informed consent This study was approved by the Ethics Committee of the Scientific and Ethics committees of clinical board of Hospital das Clínicas and Faculdade de Medicina da Universidade de São Paulo under the protocol number 424/01. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study. 90

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