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Situational syncope is often triggered by urination, swallowing, or coughing. [2] Carotid sinus syncope is due to pressure on the carotid sinus in the neck. [2] The underlying mechanism involves the nervous system slowing the heart rate and dilating blood vessels, resulting in low blood pressure and thus not enough blood flow to the brain. [2]
The carotid sinus baroreceptor can be oversensitive to manual stimulation from the pressure applied at the carotid sinus at the carotid bifurcation. 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 heart rate and blood ...
Neurally mediated syncope may also occur when an area in the neck known as the carotid sinus is pressed. [1] A normal response to carotid sinus massage is reduction in blood pressure and slowing of the heart rate. Especially in people with hypersensitive carotid sinus syndrome this response can cause syncope or presyncope. [9]
Baroreflex activation therapy is an approach to treating high blood pressure and the symptoms of heart failure. It uses an implanted device to electrically stimulate baroreceptors in the carotid sinus region. This elicits a reflex response through the sympathetic and vagal nervous systems that reduces blood pressure.
It conveys information from the baroreceptors of the carotid sinus to the vasomotor center in the brainstem (in order to mediate blood pressure homeostasis), and from chemoreceptors of the carotid body [further explanation needed] (mainly conveying information about partial pressures of blood oxygen, and carbon dioxide).
An increase in blood pressure can be caused by increased cardiac output, increased total peripheral resistance, or both. The baroreceptors in the carotid sinus sense this increase in blood pressure and relay the information to the cardiovascular centres in the medulla oblongata.
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Sinus infection, rhinosinusitis: An illustration showing the difference between healthy sinuses and diseased sinuses: Specialty: Otorhinolaryngology: Symptoms: nasal discharge, nasal blockage, facial pain, reduction or loss of smell, fever [1] [2] Causes: Infection (bacterial, fungal, viral), allergies, air pollution, structural problems in the ...