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Europace 2005 7(6):638-640; doi:10.1016/j.eupc.2005.06.006
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© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.

CASE REPORT

Ventricular fibrillation induced by carotid sinus massage without preceding bradycardia

Sasalu Marulasiddappa Deepaka,b,*, Nicholas P. Jenkinsa,b, Neil C. Davidsona,b, David H. Bennetta,b and Shukri S. Mushahwara,b

aUniversity Department of Cardiology, Regional Cardiac Centre, Wythenshawe Hospital Manchester, UK; bDepartment of Cardiology, Fairfield General Hospital Bury, UK

Carotid sinus massage is widely used to detect carotid sinus hypersensitivity in patients presenting with syncope. Although generally safe, the risks associated with the procedure may not be fully appreciated by either the patient or the attending medical staff. We present the case of a patient who developed ventricular fibrillation during carotid sinus massage, not explained by preceding bradycardia or concomitant predisposing heart disease, and which highlights the need for ready availability of resuscitation equipment during this procedure.

Key Words: ventricular fibrillation, syncope, carotid sinus, defibrillators-implantable, tachycardia

*Corresponding author. Department of Cardiology, Wythenshawe Hospital, Southmoor Road, Manchester M23 9LT, UK. Tel.: +44 1614367204, +44 7812069930 (mobile). E-mail address: drdeepaksm{at}yahoo.co.uk


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