Wenger T L, Dohrmann M L, Strauss H C, Conley M J, Wechsler A S, Wagner G S
Pacing Clin Electrophysiol. 1980 May;3(3):332-9. doi: 10.1111/j.1540-8159.1980.tb05240.x.
We describe a patient with cough syncope who was found to have carotid sinus hypersensitivity with mixed cardioinhibitory and vasodepressor responses. Symptoms were ameliorated by denervation of the more hypersensitive carotid sinus. Spontaneous atypical Wenckebach cycles in this patient were caused by the combined hypersensitive cardioinhibitory and vasodepressor responses. This report stresses the importance of checking blood pressure as well as heart rate in all patients in whom carotid sinus syndrome is suspected.
我们描述了一名咳嗽性晕厥患者，该患者被发现存在颈动脉窦过敏，伴有混合性心脏抑制和血管减压反应。通过对更敏感的颈动脉窦进行去神经支配，症状得到改善。该患者的自发性非典型文氏周期是由心脏抑制和血管减压反应联合过敏引起的。本报告强调，在所有疑似颈动脉窦综合征的患者中，检查血压以及心率的重要性。
