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Treatment of Carotid Sinus Syndrome

➤Carotid sinus syndrome ✔ Information about hospitals and doctors ★ Rankings ✔ Reviews $ Prices ✉ Send request to the hospital

Best hospitals and doctors for carotid sinus syndrome treatment abroad

The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.

Cost for treatment

Carotid sinus hypersensitivity (CSH) diagnosis
 from  1319
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
 from  7191
Cardiac rehabilitation
 from  538

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques. The clinic has at its disposal the latest
Carotid sinus hypersensitivity (CSH) diagnosis
1891 help1711
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
12062 help10622

German Heart Center Berlin

9.6/10
location_onGermany, Berlin

Department of Cardiology

The German Heart Center Berlin is a modern highly specialized medical facility for the treatment of cardiovascular diseases in patients of all age groups, as well as heart and lung transplantation. The center was founded in 1986 and today has gained the status of one of the most reputable in the area of its specialization n
Carotid sinus hypersensitivity (CSH) diagnosis
1954
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
10324

Hospital Sachsenhausen - Academic Hospital of the University of Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

The Hospital Sachsenhausen - Academic Hospital of the University of Frankfurt am Main was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes. The hospital offers services in the field
Carotid sinus hypersensitivity (CSH) diagnosis
1669
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
9889

Medipol Mega University Hospital Istanbul

8/10
location_onTurkey, Istanbul

Department of Cardiology

Medipol Mega University Hospital in Istanbul is the largest, leading hospital in Turkey with a broad range of medical services. Thanks to the highly qualified medical staff, the state-of-the-art medical technology and a special well-being ambience, the Hospital enjoys an excellent reputation in both national and international ar
Carotid sinus hypersensitivity (CSH) diagnosis
1603 help1493
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
9679 help8879

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Cardiology, Angiology and Internal Intensive Care

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Carotid sinus hypersensitivity (CSH) diagnosis
1901
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
12285

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Cardiology

The Primus Super Speciality Hospital New Delhi is a modern medical facility, which is distinguished by extremely high quality and standards of medical service. The hospital is located in the heart of New Delhi, in the capital of India. During its design and construction, the most advanced medical technologies from around the wor
Carotid sinus hypersensitivity (CSH) diagnosis
1416.4 help1319
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
8329.6 help7566

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Cardiology

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties. Ramdam serves over 2 million residents of the country, as well as the Israel Defense Forc
Carotid sinus hypersensitivity (CSH) diagnosis
2195 help1975
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
14652 help13052

Klinik im Park Zurich

8.9/10
location_onSwitzerland, Zurich

Department of Cardiovascular Diseases

Every year, Zurich attracts thousands of foreigners with its best Swiss clinics. One of them is Klinik Im Park that has been providing a constantly high level of medical services, professional care and friendly atmosphere for 25 years. Why exactly do patients choose Swiss clinics? The reason is that our specialists will do their
Carotid sinus hypersensitivity (CSH) diagnosis
0
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
0

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Cardiology, Angiology and Pulmonology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Carotid sinus hypersensitivity (CSH) diagnosis
0
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
0

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Cardiology and Angiology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Carotid sinus hypersensitivity (CSH) diagnosis
2389
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
16401

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Cardiology, Pulmonology and Angiology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Carotid sinus hypersensitivity (CSH) diagnosis
2067
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
12146

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Cardiology, Angiology, Pulmonology and Intensive Care

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Carotid sinus hypersensitivity (CSH) diagnosis
1954
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
12368

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Cardiology and Angiology

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Carotid sinus hypersensitivity (CSH) diagnosis
1839
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
12424

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Cardiology, Endocrinology, Nephrology and Pulmonology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Carotid sinus hypersensitivity (CSH) diagnosis
1821
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
11074

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Cardiology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Carotid sinus hypersensitivity (CSH) diagnosis
1939
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
10699

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Cardiology, Pulmonology and Angiology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Carotid sinus hypersensitivity (CSH) diagnosis
1924
Pacemaker implantation for carotid sinus hypersensitivity (CSH)
12210

About the disease

Carotid Sinus Syndrome develops as a reaction of hypersensitive receptors of the internal carotid artery to the carotid sinus. Carotid sinus is a dilated area at the base of artery. Carotid sinus syndrome occurs mostly among old men. Carotid sinus reflex plays a key role in the control of blood pressure. In the presence of abnormal carotid sinus, a patient develops bradycardia or hypotension. The carotid sinus is located close to the neck, that`s why people who have CSS faint when they move their head suddenly.

CSS occurs quite frequently to people who have coronary heart disease or hypertension. Person with carotid sinus syndrome has fainting episodes. Loss of consciousness may happen because of the sharp turn of the head or because of the neck hyperextension which may happen while a person is eating. It can also be provoked as a result of wearing shirts with tight collar and by ties.

Normally young people who have CSS have a slight slowing of the heart rate and low blood pressure. The blood pressure for the elderly may be even lower.

Causes:

  • Elderly age
  • Arterial hypertension
  • Cardiac ischemia
  • Orthostatic hypotension
  • Alzheimer's disease
  • Parkinson's disease
  • Beta-blockers

Symptoms

  • Recurrent vertigo
  • Unexplained fainting
  • Swelling of the neck
  • Hypotension
  • Bradycardia
  • Weakness
  • Dizziness
  • Palpitations in the heart
  • Darkening of the eyes
  • Confusion
  • Loss of consciousness
  • Convulsions
  • Memory losses
  • Slow heart rate

Diagnosis

Diagnosis includes a thorough physical examination and ECG. During the diagnosis a patient is seated or placed with his head thrown back. The location of the carotid sinus (behind the neck) is compressed and lightly massaged first to find the right carotid artery; then, if there is no reaction from the patient, the left carotid artery is also pressed. If a patient has Carotid Sinus Syndrome he may feel dizziness and he may even faint if the stage of the disease is too progressed.

Treatment

  • The most well-known treatment of CSS is a massage, which stimulates the carotid arteries. During such massage a patient is lying on his back when doctor conducts a procedure with the simultaneous recording of ECG and blood pressure measurement. Massage of the carotid artery is performed alternately on each side with gradually increasing the degree of pressure. It may last no more than 20 seconds.
  • In severe cases when conservative treatment does not help, denervation of the carotid sinus is performed. This is a very difficult surgery, because carotid sinus has great sensitivity and it`s very important not to damage any nerve endings.
  • If type of the disease is cardiac, then  patient requires a pacemaker implantation, which will control the heartrate. It is set if the frequency of a heartbeat is less than 40 beats per minute. 

Treatment of bradycardia is carried out in different ways, depending on the complexity of the disease. If a person has moderate bradycardia, the treatment is carried out by antiarrhythmic drugs. In more complex cases doctors may use adrenaline. Also at the time of treatment physical activity must be significantly reduced.




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