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Title:           Carotid sinus massage in clinical practice: the Six-Step-Method
Subject:         DOI: 10.1093/europace/euae266; Europace, 26, 11, 2024-10-14.; Abstract: Carotid sinus massage (CSM) as integral part of cardiovascular autonomic testing is indicated in all patients > 40 years with syncope of unknown origin and suspected reflex mechanism. However, large practice variation exists in performing CSM that inevitably affects the positivity rate of the test and may result in an inaccurate diagnosis in patients with unexplained syncope. Even though CSM was introduced into medical practice more than 100 years ago, the method of performing CSM is still largely operator- and centre-dependent, while in many places, the test has been entirely abandoned. Here, we describe a standardized protocol on how to perform CSM, which basic monitoring equipment is necessary and why CSM is a safe procedure to perform. Our aim is to create a uniform approach to perform CSM. The new proposed algorithm, the Six-Step-Method, includes: (i) check history for exclusion CSM; (ii) turn head slightly 
Keywords:        Carotid sinus massage; Tilt table testing; Syncope; Haemodynamic monitoring; Video recording
Author:          Frederik J. de Lange
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        Title: Barriers to a proper utilization of carotid sinus massage in the diagnosis of syncope
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   Type: CRC32
  Checksum: fa8df8a925daeec0497bdeffac7c94c9
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