Carotid Sinus Syncope Treatment in India

James Verma, a 58-year-old high school...

James Verma, a 58-year-old high school history teacher, had always been active and healthy. His life took a frightening turn when he began experiencing sudden, unexplained fainting spells. The first happened while he was shaving, the second while tightening his tie before class. Each episode was preceded by a wave of dizziness and a feeling of his heart 'stopping,' followed by a complete loss of consciousness for 10-15 seconds. He was terrified he would collapse in front of his students. After a normal ECG and echocardiogram, his cardiologist, suspecting a neural reflex cause, recommended a Carotid Sinus Massage test. In the procedure room, with careful monitoring, gentle pressure was applied to the side of his neck. Almost instantly, James's heart rate plummeted, and he reproduced his pre-syncopal symptoms, confirming Carotid Sinus Syndrome. The experience, while controlled, was unsettling as he felt his familiar, dreaded symptoms in a clinical setting. Treatment involved education on avoiding tight collars and sudden neck movements, and a cautious trial of a medication to regulate his heart rate. Six months later, with lifestyle adjustments, James has had no further fainting spells. The emotional journey was profound: from the fear of the unknown and loss of control to immense relief at having a clear, manageable diagnosis. He feels empowered and has cautiously returned to all his activities, including teaching, with renewed confidence.