Bradycardia with syncope in carotid sinus syndrome: A rare case report in palliative care

Arunangshu Ghoshal, Shamali Poojary, Anuja Damani, Naveen S Salins, Jayita K Deodhar, Maryann MuckadenIndian Journal of Palliative Care 2018 24(3):375-377Emergencies in palliative care need to be defined by the potential distress that a clinical issue raises for a person. A 58-year-old male with carcinoma vallecula referred for palliative care presented with recurrent syncopal attacks. On examination, a swelling at the left angle of mandible pressing on the carotid sinus was detected. A clinical diagnosis of carotid sinus syndrome was made, which is an exaggerated response to carotid sinus baroreceptor stimulation and results in dizziness or syncope from transient diminished cerebral perfusion. Rapid identification and judicious interventions in time (cardiac consultation, intravenous atropine 0.5 mg, and temporary pacemaker implantation) were able to manage a potentially correctable cardiovascular emergency in his case.

Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Arunangshu Ghoshal Shamali Poojary Anuja Damani Naveen S Salins Jayita K Deodhar Maryann Muckaden Source Type: research