SUBJECTIVE MANIFESTATIONS OF THE HYPERACTIVE CAROTID SINUS REFLEX
Authors: L H SIGLER
Journal: Annals of Internal Medicine (1948)

Article1 October 1948SUBJECTIVE MANIFESTATIONS OF THE HYPERACTIVE CAROTID SINUS REFLEXLOUIS H. SIGLER, M.D., F.A.C.P.LOUIS H. SIGLER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-29-4-687 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt has been known for hundreds of years that pressure applied to the carotid sinus region may result in unconsciousness and convulsions. According to Ask-Upmark,1the Assyrians used this method to dull pain during the rites of circumcision. Perry2observed this phenomenon in 1779. The mechanism of its production, however, was not clearly understood until the pioneer work of Hering3and of Heymans.4These authors demonstrated that stimulation of the carotid sinus region results in a number of reflexes, the most prominent of which are those of cardioinhibition, vasodepression, and disturbances in respiration. This was followed by the work of...Bibliography1. ASK-UPMARK E: The carotid sinus and the cerebral circulation, Acta psych. et neurol., 1935, supp., vi, 1. Google Scholar2. PERRY CH: An inquiry into the symptoms and causes of the syncope and anginosa, commonly called angina pectoris, vol. 8, 1799, London. Google Scholar3. HERING HE: Die Karotissinusereflexe auf Herz und Gefasse, 1937, Theodor Steinkopff, Dresden. Google Scholar4. HEYMANS C: Le sinus carotidien et les autres zone vasosensibles reflexogenes, 1929, H. K. Lewis and Co., London. Google Scholar5. WEISSBAKER SJP: The carotid sinus reflex in health and disease, its role in causation of fainting and convulsions, Medicine, 1933, xii, 298. Google Scholar6. FERRISCAPPSWEISS EBRBS: Carotid sinus syncope and its bearing on the mechanism of the unconscious state and convulsions, Medicine, 1935, xiv, 377. CrossrefGoogle Scholar7. WEISSCAPPSFERRIS SRBEB: Syncope and convulsions due to a hyperactive carotid sinus reflex, Arch. Int. Med., 1936, lviii, 407. CrossrefGoogle Scholar8. SIGLER LH: Clinical observations on the carotid sinus reflex: 1. The frequency and the degree of response to carotid sinus pressure under various disease states, Am. Jr. Med. Sci., 1933, clxxxvi, 110; Clinical observations on the carotid sinus reflex: II. The response to carotid sinus pressure at various ages and heart rates and rhythms, ibid., 1933, clxxxvi, 118; Further observations on the carotid sinus reflex, Ann. Int. Med., 1936, ix, 1380. Hyperactive cardioinhibitory carotid sinus reflex, a possible aid in the diagnosis of coronary disease, Arch. Int. Med., 1941, lxvii, 177. The hyperactive cardioinhibitory carotid sinus reflex as an aid in the diagnosis of coronary disease. Its value compared with that of the electrocardiogram, New Eng. Jr. Med., 1942, ccxxvi, 46. Google Scholar9. SIGLER LH: Hyperactive vasodepressor carotid sinus reflex, Arch. Int. Med., 1942, lxx, 983. CrossrefGoogle Scholar10. CRAIGSMITH WMHL: Surgical treatment of hypersensitive carotid sinus reflexes: Report of 13 cases, Yale Jr. Biol. and Med., 1939, xi, 415. Google Scholar11. MARMORSAPIRSTEIN JMR: Bilateral thrombosis of anterior cerebral artery following stimulation of a hypersensitive carotid sinus, Jr. Am. Med. Assoc., 1941, cxvii, 1089. CrossrefGoogle Scholar12. ASKEY JM: Hemiplegia following carotid sinus stimulation, Am. Heart Jr., 1946, xxxi, 131. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, New York*Received for publication March 17, 1947. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byErstickenKann ein Griff an den Hals zum reflektorischen Herztod führen?Carotid sinus hypersensitivity in patients with unexplained syncope: Clinical, electrophysiologic, and long-term follow-up observationsDynamics of collateral circulation in progressive asymptomatic carotid diseaseHigh-resolution real-time ultrasound of the carotid bifurcation in patients with hyperactive carotid sinus syndromeArterial Baroreflexes in HumansCarotid sinus syndromeTreatment of Carotid Sinus Syncope with Demand PacemakerMANUAL COMPRESSION OF THE CAROTID VESSELS, CAROTID SINUS HYPERSENSITIVITY AND CAROTID ARTERY OCCLUSIONS*ALLEN SILVERSTEIN, M.D., DAVID DONIGER, M.D., MORRIS B. BENDER, M.D., F.A.C.P.The carotid sinus syndromeThe treatment of the carotid sinus syndrome∗The Versatility of the Carotid Sinus in Diagnosis and TreatmentINSULIN AND THE CAROTID SINUS*ISADORE RUDNIKOFF, B.S., M.D., F.A.C.P. 1 October 1948Volume 29, Issue 4Page: 687-697KeywordsConvulsionsReflexesRespiration ePublished: 1 December 2008 Issue Published: 1 October 1948 PDF downloadLoading ...