Carotid Sinus Massage & Atrial Pacemaker
Report:
Sinus rhythm 53/min 1
Atrial pacemaker rhythm 41 - 42/min 2
Second degree AV block 3
Single non-conducted paced beat 4
Comment:
Carotid sinus massage may induce AV block regardless of the nature of atrial activation. The patient's response is not abnormal, nor does it imply any pacemaker malfunction.
The pacemaker rate is varies slightly, as it was being adjusted at the same time27. The massage was performed to assess whether the patient would require a ventricular pacemaker as well. It would have been more intelligent by far to have tested the AV nodal response to rapid atrial pacing.
Ventricular pacing would have been less beneficial and could have contributed to hypotension associated with spinal anæsthesia. Its sole indication here would have been a true AV block, not one induced by carotid massage.
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and it's records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.