Permanent DDDR Cardiac Pacing for Hypersensitive Carotic Syndrome after Surgery

Abstract

We report a case of a 53-year-old patient with recurrent syncope episodes following neck surgery intervention for a tong spinocelular epidermoid carcinoma. During the syncope, he experienced severe bradycardia (15 beats/min) and hypotension with systolic BP 50 mm Hg (mixed VASA 3-like response). A DDDR pacemaker was then implanted with no further syncopal episodes and significant improvement in quality of life.