Recurrent syncope resulting from large carotid atheroma

Abstract

It is important to recognize the presentation of carotid sinus syndrome (CSS) as a potential Introduction Syncope is a common cause of hospitalization in the elderly. Carotid sinus syndrome (CSS) is an often overlooked cause of syncope. CSS occurs when stimulation of the carotid artery baroreceptors in the neck results in a greater than expected fall in heart rate and blood pressure, resulting in recurrent lightheadedness, syncope, or unexplained falls in older patients. In this case, a patient with a history of severe carotid stenosis presents with syncope and bradycardia. reversible etiology of syncope and atrioventricular block.