[Sinus caroticus syndrome diagnosed after 43 years].

A 63-years-old male suffered from palpitations, syncope and near syncope for 43 years. He had diagnosed paroxystic atrial fibrillation and was treated with betablocade, calcium antagonists, and flecanide with potentially severe complications. Blood tests, electrocardiography, echocardiography and myocardial scintigraphy were all normal. The patient was admitted for drug cessation, and at admittance sinus caroticus massage was performed. The patient developed an 11 second pause in heart rhythm and was diagnosed with sinus caroticus syndrome. After pacemaker implantation, he was free of symptoms.