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European Heart Journal 1989 10(5):459-463;
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

The effect of carotid sinus massage is independent of posture in patients with heart disease

H. MICKLEY, K. NØRREGAARD HANSEN, H. PXHØJ* and M. MØLLER

Department of Cardiology B Odense Denmark
*Department of Clinical Physiology University Hospital Odense Denmark

Received 17 September 1987; revised 6 January 1988; .

Address for correspondence: H. Mickley M.D., Department of Cardiology B, University Hospital, Odense 5000 C, Denmark.

Abstract

The influence of posture on the effect of carotid sinus massage (CSM) in patients with heart disease has not been systematically evaluated. In the present study CSM was performed in 80 patients (mean age 55 ± 10 (SD) years) suffering from various cardiovascular diseases. Each subject had unilateral right- and left-sided CSM performed in the supine and in the sitting position, while heart rate and systolic blood pressure were monitored. No statistically significant differences in the CSM-induced response in systolic blood pressure or heart rate were found between the two postures. In the supine position the drop in heart rate was significantly greater after right-sided than after left-sided CSM (P>0.05). In only one patient (1%) was a significant carotid sinus reflex evoked. The response was cardioinhibitory with asystole for 3700 ms during right-sided, supine CSM. These results imply that posture does not influence the effect of CSM in patients suffering from heart disease.

Key Words: Carotid sinus massage • posture


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