Solti F, Mogan S T, Renyi-Vamos F, Moravcsik A
Cardiovascular Surgical Clinic, Semmelweis Medical University, Budapest, Hungary.
J Cardiovasc Surg (Torino). 1990 Nov-Dec;31(6):693-6.
The association of internal carotid stenosis with the carotid sinus syndrome represents a special clinical entity. Transitory cerebral ischaemic attack (TIA) will usually be manifested by activation of carotid sinus reflex. Eighteen patients were observed suffering from both carotid sinus hypersensitivity and TIA. The patients had had TIA's for many years. Unilateral internal carotid stenosis was detected in 15 cases, while 3 patients had bilateral carotid stenosis. On carotid sinus stimulation, syncope appeared and a TIA could be provoked. The mean duration of the syncopic attack was 5500 ms and was based on sinus arrest in 14 cases and on third degree AV block in 4 cases. In all patients carotid artery disobliteration was performed; in 14 patients pacemaker implantation was necessary, while 4 patients could be treated by atropine medication. The development of a TIA could be abolished in every patient and 14 patients remained totally symptom free.
颈内动脉狭窄与颈动脉窦综合征的关联代表了一种特殊的临床实体。短暂性脑缺血发作（TIA）通常会表现为颈动脉窦反射的激活。观察到18例患者同时患有颈动脉窦过敏和TIA。这些患者患有TIA多年。15例检测到单侧颈内动脉狭窄，而3例患者为双侧颈动脉狭窄。在刺激颈动脉窦时，出现晕厥并可诱发TIA。晕厥发作的平均持续时间为5500毫秒，其中14例基于窦性停搏，4例基于三度房室传导阻滞。所有患者均进行了颈动脉再通术；14例患者需要植入起搏器，而4例患者可用阿托品药物治疗。每位患者的TIA发作均得以消除，14例患者完全无症状。
