An unusual case of recurrent syncope in elderly male: A case report

Abstract

Carotid sinus Hypersensitivity (CSH) or syndrome (CSS), is a frequently encountered and potentially treatable condition in the elderly, that may be characterized by neurological symptoms or an exaggerated cardiovascular response. Mechanical stimulation of carotid sinus leads to an exaggerated baroreflex response, which may manifest as bradycardia and/ or hypotension along with a reflex mediated syncope. We report a 70yr old male patient, who presented with complaint of multiple recurrent episodes of syncope and fall associated with bradycardia while shaving. A diagnosis of cardio-inhibitory type of CSH was made and the patient was discharged after successful implantation of a cardiac pacemaker. Keywords: Recurrent syncope attacks, Cardio-inhibitory type, Pacemaker implantation.