CAROTID SINUS SYNDROME

In my research I found this article that listed CAROTID SINUS SYNDROME and found it interesting that the criteria in this article is what my doctor put on my diagnosis sheet but didnt say that exact thing.

Anyone have CAROTID SINUS SYNDROME? http://ageing.oxfordjournals.org/cgi/reprint/30/suppl_4/19.pdf  

Neurocardiogenic Syncope - Neurally mediated syndromes Page 2; CAROTID SINUS SYNDROME under table 2: Type 2 & 3 Cardioinhibitory & Vasodepressor

I know he put Orthostatic Hypotension; anyone know if they're the same thing?

[Jerry_NJ]

Hi Lisa,

Sorry I can't help, but your question sounds a bit like a "fishing expedition" to me.  Makes me wonder what the doctors I've seen over the years have written down but not explained to me.  I bet there is loads and loads of it.

My assumption: if the doctor doesn't mention it, it most likely isn't important.  That said, I did carefully examine the results of my last echocardiogarm and found some "good news" that wasn't brought to my attention.  By the way, I would not have seen the report had I not specifically requested it.  When I brought the "news" to the attention of my cardiologist with a suggested treatment for my AFib, he agreed.  It may have just been overlooked because the measurement was not a critical indicator, but was important when consider in the light of my history.

Guess I'm trying to walk on both sides of the road at the same time.  Conclusion: ask your doctor.

[itdood]

Not sure if they're the same, but the doc has to put down an ICD-9 code on their "super bill" to get reimbursed by insurance.  I'm not saying he'd make something up but will get as close as he can on the ICD-9 code.  Don't read too much into it.  Ask your doctor to clarify, don't be afraid to ask these questions.

[Mom2four85]

Sorry it's not a "fishing expedition" lol I guess I won't ask any more questions on here like that.

What this should have said was IS THIS IS SAME thing as neurocardiogenic syncope with Cardioinhibitory & Vasodepressor  responses? My dr put this on my diagnosis but not the specific words CAROTID SINUS SYNDROME,  I wasn't sure if it was the same thing, that's all, please don't read more into something that is not there.

The article is related to cardivascular causes of falls and related info; info on syncope and diagnostic causes of falls.

Thanks for the help.

[Mom2four85]

Oh and while I'm at it and probably going to get myself into trouble and get banned I'm jumping in with both feet.

If you didn't read the whole article and the part I pointed out, then DO NOT comment on my posts.  

I wanted input from someone who had this syndrome and if that's how they got diagnosed with it.

And yes the dr is the best person to ask, I go Thurs and planned on asking about it and a million other questions, even when they give answers sometimes it's not in plain terms or you may still have questions after

Doctors are not GODS they're falliable and miss things and make mistakes, I can attest to that.

[itdood]

Hi Lisa, sorry I completely misunderstood the question.  I gather you had an episode of syncope and are trying to find out the cause?

Orthostatic Hypotension (OH) isn't the same thing as carotid sinus syndrome (CSS) per se.  I think OH is a very broad definition of syncope of cardiac origin that occurs when one stands up.  I think the tilt table test is what's primarily used to diagnose OH.  Orthostatic Hypotension literally means "standing posture" and "low blood pressure".  Many things can cause OH including certain arrhythmias or cardiomyopathy.

CSS from what I read is the result of the sinus nerve being somehow stimulated in one's neck area.  This in turn creates hyoptension and syncope.  I didn't gather how this happens but my guess is similar to any of the sympathetic nerves, they can affect one's heart rate.  So if someone's sinus nerve is stimulated somehow (usually a neck turn), it may lead to a slower heart rate and hypotension enough to cause a black out.  Like OH there may be other precipitating factors such as cardiomyopathy.

either way, there's tests for both that can be done to determine which one is the cause.

For CSS it involves stimulating the sinus verve.  For OH it would be the tilt table test.

I hope this helps.