Carotid Sinus Hypersensitivity Follow-up

Updated: Sep 12, 2016
  • Author: Mevan N Wijetunga, MD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Follow-up

Further Outpatient Care

Follow-up for carotid sinus hypersensitivity (CSH) should be based on the severity of symptoms and the treatment modality. Patients on any form of treatment require regular follow-up to monitor the effects of treatment versus the adverse effects of intervention. Follow-up for patients who rarely have symptoms may be on an as-needed basis.

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Prognosis

The long-term mortality rate is similar to the general population and patients with unexplained syncope.

Untreated symptomatic patients have a syncope recurrence rate as high as 62% within 4 years.

Patients treated with a pacemaker have fewer syncopal attacks but may experience a recurrence rate as high as 16% in 4 years.

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Patient Education

Educate patients on how to recognize premonitory symptoms and avoid triggering events. In addition, educate patients regarding therapeutic actions such as methods to increase central fluid volume in the body

For patient education resources, see Brain & Nervous System Center as well as Dizziness.

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