{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T17:11:08Z","timestamp":1648746668969},"reference-count":15,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,9,10]],"date-time":"2012-09-10T00:00:00Z","timestamp":1347235200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ISRN Cardiology"],"published-print":{"date-parts":[[2012,9,10]]},"abstract":"<jats:p>Syncope recurrence in pacemaker-implanted subjects for the cardio-inhibitory response to sinus carotid massage (SCM) was investigated. The study-hypothesis was that recurrences had significant vasodepressor responses that could justify the loss of consciousness. Forty-six patients were enrolled (16 patients and 30 controls), followed and revaluated after 5\u20137 years. At the end of follow-up, significant differences were found between patients and controls in mean SCM SAP (87 <jats:italic>versus<\/jats:italic> 106\u2009mmHg) and reduction in mean SCM SAP (59 <jats:italic>versus<\/jats:italic> 38\u2009mmHg); in the number of symptomatic subjects soon after SCM (5 <jats:italic>versus<\/jats:italic> 1); and in the number of subjects suffering from orthostatic hypotension. A subgroup of 13 patients showed significantly different hypotensive responses to SCM compared with the values observed at study recruitment.  The data showed that some subjects with a defined hemodynamic pattern in response to SCM may change their characteristics and have spontaneous and\/or provocative symptoms. These data explain the syncopal relapses, and suggest the presence of autonomic dysregulation in individuals with carotid sinus hypersensitivity.<\/jats:p>","DOI":"10.5402\/2012\/216206","type":"journal-article","created":{"date-parts":[[2012,9,10]],"date-time":"2012-09-10T21:30:30Z","timestamp":1347312630000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Recurrent Syncope in Patients with Carotid Sinus Hypersensitivity"],"prefix":"10.5402","volume":"2012","author":[{"given":"Alfonso","family":"Lagi","sequence":"first","affiliation":[{"name":"UO Emergency Medicine and Syncope Unit, Ospedale Santa Maria Nuova-Firenze, Piazza S. Maria Nuova, 1-50131, Florence, Italy"},{"name":"Cardiology Unit, Electrophysiology and Syncope Unit, Ospedale Santa Maria Nuova-Firenze, Piazza S. 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