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Carotid sinus

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involving brief gentle pressure of the carotid sinus in therapeutic settings as a diagnostic and therapeutic examination tool have reported few potentially fatal complications. A carotid massage can also possibly dislodge a
2124: 1684: 1880: 1828: 480:. It is a condition known as 'carotid sinus hypersensitivity' (CSH), 'carotid sinus syndrome' or 'carotid sinus syncope', in which manual stimulation causes large changes in 2287: 1918: 2681: 1895: 1052:
Lim SH, Anantharaman V, Teo WS, Goh PP, Tan AT (January 1998). "Comparison of treatment of supraventricular tachycardia by Valsalva maneuver and carotid sinus massage".
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Glagov S, Zarins C, Giddens DP, Ku DN (October 1988). "Hemodynamics and atherosclerosis. Insights and perspectives gained from studies of human arteries".
2180: 2365: 1946: 1522: 559:. A pacemaker-like device can be implanted to electrically stimulate the receptors chronically, which is found to lower blood pressure by 15–25 mmHg. 1013:"Baroreceptors in the carotid and hypertension-systematic review and meta-analysis of the effects of baroreflex activation therapy on blood pressure" 2324: 2729: 1821: 186:. The carotid sinus extends from the bifurcation to the "true" internal carotid artery. The carotid sinus is sensitive to pressure changes in the 2786: 2573: 2220: 2048: 2058: 2014: 1242: 1137: 820: 787: 114: 110: 2618: 2053: 2043: 1490: 2610: 2258: 1990: 1941: 691:
Stimulation of the carotid sinus via a slap or a strike, to induce (usually temporary, but sometimes lethal) loss of consciousness is a
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Câmara R, Griessenauer CJ (January 2015). "Chapter 27 - Anatomy of the Vagus Nerve". In Tubbs RS, Rizk E, Shoja MM, Loukas M (eds.).
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Usually older patients with syncope and unexplained falls often have coexisting conditions such as carotid sinus hypersensitivity,
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The carotid sinus baroreceptor can be oversensitive to manual stimulation from the pressure applied at the carotid sinus at the
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Hermanowicz N (January 2007). "Chapter 13 - Cranial Nerves IX (Glossopharyngeal) and X (Vagus)". In Goetz CG (ed.).
2761: 2691: 2614: 2395: 2386: 2264: 2186: 2068: 1913: 1724: 1712: 1694: 357: 238: 2671: 2656: 2628: 2538: 2452: 2446: 2401: 2381: 2355: 2118: 1978: 1875: 1791: 457: 964:"Symptomatic presentation of carotid sinus hypersensitivity is associated with impaired cerebral autoregulation" 2489: 2272: 2191: 2176: 2162: 2109: 1923: 1679: 373: 278: 93: 2527: 2523: 2519: 572: 2648: 2582: 2315: 2268: 2172: 1867: 1858: 1641: 1636: 1480: 593: 516: 171: 40: 2704: 2586: 2507: 2428: 2216: 2211: 2114: 2005: 2000: 1598: 1439: 632: 461: 441: 341: 260: 145: 121: 105: 508:) on several occasions while shaving, or in some other way coming into contact with their carotid sinus. 2414: 2283: 2167: 1849: 1841: 1708: 1658: 1626: 1616: 1473: 1448: 1444: 2515: 2756: 2734: 2721: 2709: 2501: 2476: 1734: 1526: 1510: 1467: 2748: 2639: 2601: 2418: 2410: 2254: 2076: 1951: 1719: 667: 659: 600:, it is a treatment for acute SVT. It is less effective than pharmaceutical management of SVT with 477: 337: 944: 839:
Scheffers IJ, Kroon AA, Schmidli J, Jordan J, Tordoir JJ, Mohaupt MG, et al. (October 2010).
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Field JM, Ruple J, eds. (2007). "Managing Stable Tachycaradia: the ACLS Tachycardia Algorithm".
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Carotid sinus syndrome (CSS) is a temporary loss of consciousness that sometimes accompanies
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Mankikar GD, Clark AN (May 1975). "Cardiac effects of carotid sinus massage in old age".
1267: 1190:"Ventricular fibrillation induced by carotid sinus massage without preceding bradycardia" 2592: 2019: 1933: 1569: 988: 963: 779: 647: 568: 485: 421: 333: 207: 187: 1065: 2780: 2230: 1966: 1166: 812: 163: 1325: 2009: 1648: 717: 696: 692: 643: 609: 552: 548: 493: 445: 409: 389: 381: 369: 325: 211: 191: 1381: 175: 1374: 1153:
Greenwood RJ, Dupler DA (August 1962). "Death following carotid sinus pressure".
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Deepak SM, Jenkins NP, Davidson NC, Bennett DH, Mushahwar SS (November 2005).
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It is a sensitive site of the body because stimulation can drive large-scale
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of the brainstem. The solitary nucleus indirectly modulates the activity of
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in which manual stimulation of the carotid sinus allegedly causes strong
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throughout the body. This can be used therapeutically in treatment of
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at this point, producing massive baroreflex activation can cause
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at The Anatomy Lesson by Wesley Norman (Georgetown University) (
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Dilated area near internal carotid artery above bifurcation
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Wijetunga MN (2021-10-16). Talavera F, Compton SJ (eds.).
392:(nerve of Cyon, Ludwig nerve), which combines with CN X ( 336:. The carotid sinus baroreceptors are innervated by the 1260:"Carotid sinus reflex death - a theory and its history" 539:
when pressure builds in one or both carotid sinuses.
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Tan MP, Chadwick TJ, Kerr SR, Parry SW (June 2014).
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American Heart Association. p. 98. 1011:Wallbach M, Koziolek MJ (September 2018). 666:. Medical literature examining the use of 551:at the carotid sinus can be used to treat 29: 1237:. Springer Science & Business Media. 1205: 1104: 1028: 987: 968:Journal of the American Heart Association 856: 312:Learn how and when to remove this message 739:Introduction to vascular ultrasonography 1348: 729: 182:at the level of the superior border of 149: 20: 1017:Nephrology, Dialysis, Transplantation 170:is a dilated area at the base of the 7: 512:is performed as treatment for this. 388:baroreceptors are innervated by the 324:The carotid sinus contains numerous 250:adding citations to reliable sources 543:Treatment of resistant hypertension 780:10.1016/b978-0-12-410390-0.00028-7 695:technique, and is often taught in 372:. These neurons then regulate the 14: 194:site in humans and most mammals. 1351: 1167:10.1001/jama.1962.03050330035007 909:"Carotid Sinus Hypersensitivity" 813:10.1016/b978-141603618-0.10013-x 687:In martial arts and self defense 422:dramatic falls in blood pressure 226: 737:Pellerito JS, Polak JF (2012). 646:) impulses leading to terminal 237:needs additional citations for 190:at this level. It is the major 805:Textbook of Clinical Neurology 472:Carotid sinus hypersensitivity 214:which monitor blood pressure. 1: 2787:Arteries of the head and neck 2705:deep branch / dorsal scapular 2279:artery of the pterygoid canal 1328:. Full Potential Martial Arts 1233:. In Ross DL, Chan T (eds.). 1066:10.1016/S0196-0644(98)70277-X 662:, but such deductions remain 430:baroreflex activation therapy 1324:Sensei B (8 November 2013). 1054:Annals of Emergency Medicine 590:supraventricular tachycardia 440:The carotid sinus often has 178:of the internal carotid and 2498:Recurrent artery of Heubner 2250:posterior superior alveolar 907:Kharsa A, Wadhwa R (2024). 428:. This is the mechanism of 344:(CN IX). The neurons which 340:, which is a branch of the 332:mechanisms for maintaining 2803: 2762:Supreme Intercostal artery 2259:anterior superior alveolar 1881:sternocleidomastoid branch 1782:Posterior intercostal 3–11 1207:10.1016/j.eupc.2005.06.006 858:10.1016/j.jacc.2010.03.089 621:Carotid sinus reflex death 616:Carotid sinus reflex death 566: 458:transient ischemic attacks 396:) and travels to the NTS. 35:Arteries of the neck. The 2453:Circulus arteriosus major 2288:posterior septal branches 2212:to muscles of mastication 1729:Posterior intercostal 1–2 1106:10.1016/j.ehj.2004.05.011 772:Nerves and Nerve Injuries 202:The carotid sinus is the 144: 28: 2528:Anterior temporal branch 2524:Inferior terminal branch 2520:Superior terminal branch 1518:Left anterior descending 1235:Sudden Deaths in Custody 660:autoerotic strangulation 464:are frequently done for 462:carotid endarterectomies 39:is at the origin of the 2534:posterior communicating 2292:posterior lateral nasal 980:10.1161/JAHA.113.000514 594:ventricular tachycardia 517:orthostatic hypotension 442:atherosclerotic plaques 172:internal carotid artery 41:internal carotid artery 2494:anterior communicating 1093:European Heart Journal 633:glossopharyngeal nerve 580:of the carotid sinus, 555:via activation of the 553:resistant hypertension 527:Carotid sinus syndrome 488:, which can result in 410:resistant hypertension 342:glossopharyngeal nerve 146:Anatomical terminology 2512:anterolateral central 1449:Ligamentum arteriosum 1303:10.1093/ageing/4.2.86 741:. Saunders/Elsevier. 668:carotid sinus massage 586:carotid sinus syncope 582:carotid sinus massage 444:because of disturbed 400:Clinical significance 174:just superior to the 2735:scapular anastomosis 2710:scapular anastomosis 2502:Orbitofrontal artery 1700:Perforating branches 1685:Anterior intercostal 1617:Right common carotid 1501:Posterior descending 1468:Coronary circulation 584:is used to diagnose 246:improve this article 2749:costocervical trunk 2692:transverse cervical 2640:thyrocervical trunk 2387:posterior ethmoidal 2265:descending palatine 2187:accessory meningeal 2039:sternocleidomastoid 1919:pharyngeal branches 1914:posterior meningeal 1891:cricothyroid branch 1725:Highest intercostal 1720:Costocervical trunk 1713:superior epigastric 1695:Pericardiacophrenic 1659:Carotid bifurcation 573:Czermak–Hering test 533:convulsive seizures 478:carotid bifurcation 338:carotid sinus nerve 2700:superficial branch 2682:glandular branches 2672:ascending cervical 2657:inferior laryngeal 2539:anterior choroidal 2382:anterior ethmoidal 2125:anterior auricular 2119:zygomatico-orbital 1979:ascending palatine 1896:glandular branches 1876:superior laryngeal 1030:10.1093/ndt/gfx279 2774: 2773: 2770: 2769: 2743: 2742: 2551: 2550: 2547: 2546: 2516:Prefrontal artery 2396:lateral palpebral 2310: 2309: 2306: 2305: 2192:inferior alveolar 2177:superior tympanic 2163:anterior tympanic 2110:transverse facial 1975:cervical branches 1924:inferior tympanic 1886:infrahyoid branch 1804: 1803: 1800: 1799: 1743: 1742: 1680:Internal thoracic 1345:Additional images 1244:978-1-59745-015-7 1229:Vilke GM (2007). 1139:978-0-87493-496-0 1099:(15): 1310–1317. 888:(10): 1018–1031. 851:(15): 1254–1258. 822:978-1-4160-3618-0 789:978-0-12-410390-0 598:valsalva maneuver 521:vasovagal syncope 450:wall shear stress 426:cerebral ischemia 374:autonomic control 322: 321: 314: 296: 184:thyroid cartilage 160: 159: 155: 2794: 2649:inferior thyroid 2645: 2566:vertebral artery 2562: 2485:Circle of Willis 2402:medial palpebral 2356:caroticotympanic 2321: 2269:greater palatine 2173:middle meningeal 2150: 1864: 1855: 1831: 1824: 1817: 1808: 1792:Superior phrenic 1642:Internal carotid 1637:External carotid 1612:Right subclavian 1595: 1565:Descending aorta 1545: 1435:Pulmonary artery 1406: 1399: 1392: 1383: 1355: 1338: 1337: 1335: 1333: 1321: 1315: 1314: 1286: 1280: 1279: 1277: 1275: 1266:. Archived from 1255: 1249: 1248: 1226: 1220: 1219: 1209: 1185: 1179: 1178: 1150: 1144: 1143: 1125: 1119: 1118: 1108: 1084: 1078: 1077: 1049: 1043: 1042: 1032: 1023:(9): 1485–1493. 1008: 1002: 1001: 991: 959: 953: 952: 940: 931: 930: 928: 927: 904: 898: 897: 877: 871: 870: 860: 836: 827: 826: 800: 794: 793: 767: 761: 760: 734: 612:stable patient. 454:ischemic strokes 418:Physical assault 366:medulla and pons 350:solitary nucleus 317: 310: 306: 303: 297: 295: 254: 230: 222: 210:, consisting of 180:external carotid 152:edit on Wikidata 33: 21: 2802: 2801: 2797: 2796: 2795: 2793: 2792: 2791: 2777: 2776: 2775: 2766: 2739: 2730:acromial branch 2716: 2686: 2634: 2543: 2471: 2439:short posterior 2429:central retinal 2369: 2360: 2337: 2302: 2273:lesser palatine 2242:pterygopalatine 2235: 2196: 2139: 2115:middle temporal 2096: 2069:post. auricular 2063: 2025: 2006:superior labial 2001:inferior labial 1997:facial branches 1961: 1928: 1906:asc. pharyngeal 1900: 1844: 1835: 1805: 1796: 1750: 1739: 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1291:Age and Ageing 1281: 1250: 1243: 1221: 1200:(6): 638–640. 1180: 1161:(7): 605–609. 1145: 1138: 1120: 1079: 1044: 1003: 974:(3): e000514. 954: 932: 899: 872: 828: 821: 795: 788: 762: 747: 728: 727: 725: 722: 721: 720: 715: 708: 705: 688: 685: 648:cardiac arrest 617: 614: 569:vagal maneuver 564: 561: 544: 541: 528: 525: 504:" (actually a 486:blood pressure 473: 470: 437: 434: 406:reflex effects 401: 398: 334:blood pressure 320: 319: 234: 232: 225: 219: 216: 208:carotid artery 199: 196: 188:arterial blood 158: 157: 148: 142: 141: 136: 130: 129: 124: 118: 117: 108: 102: 101: 96: 90: 89: 84: 78: 77: 73: 72: 67: 61: 60: 59:Carotid artery 57: 51: 50: 46: 45: 34: 26: 25: 15: 13: 10: 9: 6: 4: 3: 2: 2799: 2788: 2785: 2784: 2782: 2763: 2760: 2758: 2757:deep cervical 2755: 2754: 2752: 2750: 2746: 2736: 2733: 2731: 2728: 2727: 2725: 2723: 2722:suprascapular 2719: 2711: 2708: 2707: 2706: 2703: 2701: 2698: 2697: 2695: 2693: 2689: 2683: 2680: 2678: 2675: 2673: 2670: 2668: 2665: 2663: 2660: 2658: 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1674: 1672: 1666: 1660: 1657: 1655: 1654:Carotid sinus 1652: 1650: 1647: 1646: 1643: 1640: 1638: 1635: 1634: 1632: 1630: 1624: 1618: 1615: 1613: 1610: 1608: 1605: 1604: 1602: 1600: 1596: 1593: 1591: 1587: 1581: 1578: 1576: 1573: 1571: 1568: 1566: 1563: 1561: 1558: 1556: 1553: 1552: 1550: 1546: 1543: 1541: 1537: 1528: 1527:Left marginal 1524: 1521: 1519: 1516: 1515: 1514: 1512: 1511:Left coronary 1508: 1507: 1502: 1499: 1497: 1494: 1492: 1489: 1487: 1484: 1482: 1479: 1478: 1477: 1475: 1471: 1469: 1466: 1465: 1463: 1459: 1450: 1446: 1443: 1441: 1438: 1437: 1436: 1433: 1432: 1430: 1426: 1422: 1418: 1414: 1407: 1402: 1400: 1395: 1393: 1388: 1387: 1384: 1377: 1376: 1371: 1368: 1367: 1363: 1358:Carotid sinus 1354: 1349: 1344: 1327: 1320: 1317: 1312: 1308: 1304: 1300: 1296: 1292: 1285: 1282: 1270:on 4 May 2012 1269: 1265: 1261: 1254: 1251: 1246: 1240: 1236: 1232: 1225: 1222: 1217: 1213: 1208: 1203: 1199: 1195: 1191: 1184: 1181: 1176: 1172: 1168: 1164: 1160: 1156: 1149: 1146: 1141: 1135: 1131: 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Index


internal carotid artery
Artery
Nerve
Branch of glossopharyngeal nerve to carotid sinus
Latin
MeSH
D002346
TA98
A12.2.04.008
A12.2.06.003
TA2
4367
FMA
50094
Anatomical terminology
edit on Wikidata
human anatomy
internal carotid artery
bifurcation
external carotid
thyroid cartilage
arterial blood
baroreception
reflex
carotid artery
baroreceptors

verification
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