The response to this simple procedure often slows a rapid heart rate (for example, atrial flutter or atrial tachycardia) and can provide important diagnostic information to the physician.
Carotid sinus massage will slow the heart rate during episodes of atrial flutter, fibrillation, and some tachycardias. It has been known to stop the arrhythmia completely.
The physician must be sure there is no evidence of blockage in the carotid artery before performing the procedure. Massage in a blocked area might cause a clot to break loose and cause a stroke.
If the procedure is being done to help diagnose angina pectoris, massaging the carotid sinus may make the discomfort go away.
Rubbing the carotid sinus stimulates an area in the artery wall that contains nerve endings. These nerves respond to changes in blood pressure and are capable of slowing the heart rate.
After massaging one side of the neck, the massage will be repeated on the other side. Both sides of the neck are never massaged at the same time.
While watching an electrocardiogram monitor, the doctor will gently touch the carotid sinus. If there is no change in the heart rate on the monitor, the pressure is applied more firmly with a gentle rotating motion.
Before performing a carotid sinus massage, it is important to obtain a thorough medical history to ensure the safety of the procedure. Aftercare involves monitoring the patient for any adverse reactions, such as dizziness or lightheadedness, and providing a comfortable environment for rest and recovery. It is recommended to instruct the patient to report any unusual symptoms following the massage.
McGood, Michael D., editor. Mayo Clinic Heart Book: The Ultimate Guide to Heart Health. New York: William Morrow and Co., Inc., 1993.
The patient will be asked to lie down, with the neck fully extended and the head turned away from the side being massaged.
Carotid sinus massage involves rubbing the large part of the arterial wall at the point where the common carotid artery, located in the neck, divides into its two main branches.
The benefits to a medical massage that is a massage commonly used in addition to the ultrasound so that this is used to ensure that one's muscles are healthy.
Massage has many health benefits. Massage lowers stress, and therefore will lower the blood pressure of the individual receiving the massage.