Carotid sinus massage for checking carotid sinus hypersensitivity

Carotid sinus massage for checking carotid sinus hypersensitivity

  1. Carotid arterial pulse located just below the thyroid cartilage
  2. Right followed by left carotid sinus massage, with a pause between
  3. Massage and not occlusion should be done
  4. Done first in supine position and then in erect posture if there no positive response in the supine position
  5. 3 sec asystole and / or 50 mm Hg fall in systolic pressure is taken as a positive response
  6. Carotid bruit and recent myocardial infarction are contraindications
  7. A very small risk of stroke / TIA has to be borne in mind