Treatment for Carotid Sinus Syndrome
Drugs known to enhance Carotid Sinus Sensitivity – Digoxin, Diltiazem, Beta-blockers and Alpha Methyldopa – should be stopped.
Dual chamber pacing, using a very sophisticated pacemaker, abolishes cardio inhibition (slowing of the heart), but has no effect on the vasodepressor (blood pressure lowering) component of carotid sinus syndrome.
Luckily cardio inhibitory carotid sinus syndrome is more common than the vasodepressor type. Pacemakers often render patients symptom free, or almost symptom free.
No effective treatment for vasodepressor carotid sinus syndrome is known but it is worth trying Fludrocortisone or other measures used to treat orthostatic hypotension.