Nieto J, Zayas R, Tonet J L, Rougier I, Aldakar M, Fontaine G, Frank R, Grosgogeat Y
Service de Rythmologie et de Stimulation Cardiaque, Hôpital Jean-Rostand, Ivry-sur-Seine.
Ann Cardiol Angeiol (Paris). 1988 Mar;37(3):143-6.
Hypersensitivity of the carotid sinus corresponds to a ventricular pause equal to or exceeding 3 seconds and/or a blood pressure drop equal to or exceeding 50 mmHg, induced by massage of the carotid sinus (MCS). MCS remains the diagnostic method of these two syndromes: cardio-inhibitor/vasodepressor. It must be performed systematically during the work-up of transient consciousness disorders since it is not unusual that hypersensitivity of the carotid sinus may cause cardiac syncopes. In addition, hypersensitivity of the carotid sinus is often associated with sinus dysfunction and atrioventricular conduction disorders. In the case of hypersensitivity of the carotid sinus with syncope secondary to a pure or dominant cardio-inhibiting response, heart stimulation with a dual-chamber pacemaker is probably the best treatment. In cases of hypersensitivity of the carotid sinus without syncope, therapeutic abstention is commonly accepted.
颈动脉窦过敏表现为在按摩颈动脉窦（MCS）时出现心室停搏等于或超过3秒和/或血压下降等于或超过50 mmHg。MCS仍然是这两种综合征（心脏抑制型/血管减压型）的诊断方法。在对短暂性意识障碍进行检查时必须系统地进行此项检查，因为颈动脉窦过敏可能导致心脏性晕厥的情况并不少见。此外，颈动脉窦过敏常与窦房结功能障碍和房室传导障碍相关。对于因单纯或主要为心脏抑制反应继发晕厥的颈动脉窦过敏病例，双腔起搏器心脏刺激可能是最佳治疗方法。对于无晕厥的颈动脉窦过敏病例，通常采取观察等待的治疗方式。
