|Carotid Sinus Syndrome is defined as Syncope with positive Carotid Sinus massage yielding not only bradycardia and/or hypotension but also simultaneous reproduction of symptoms, i.e., syncope or pre-syncope. Carotid Sinus massage is performed over the Carotid artery at the level just above the thyroid cartilage for 10 s. It should not be occlusive to the artery. Today, this is best performed on the tilt-table with beat-to-beat blood pressure monitoring and the ready ability to perform the massage both supine and upright separately on each carotid.
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