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Nasal carcinoma – a rare indication for a permanent pacemaker

Simon Campbell, David Walker, Sandro Lanzon-Miller and Paul Gurr
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DOI: https://doi.org/10.7861/clinmedicine.4-2-165
Clin Med March 2004
Simon Campbell
Royal Berkshire Hospital, Reading
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David Walker
Northern General Hospital, Sheffield
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Sandro Lanzon-Miller
∗Milton Keynes General Hospital
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Paul Gurr
∗Milton Keynes General Hospital
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Abstract

Cardiac sinus syncope is a recognised but rare complication of head and neck cancers. Although electrical pacing remains an important treatment to prevent further syncopal episodes related to bradycardia, vasopressorrelated syncope remains a more difficult management problem. The article describes the case of a 66-year-old patient with metastatic squamous cell carcinoma of the nose, who presented with syncope and exhibited carotid sinus syncope related to both carotid body invasion and vasopressor mechanisms. Successful management by the insertion of a permanent pacemaker is described, and a review of the literature on this rare complication is given.

  • carotid sinus syncope
  • pacemaker
  • squamous cell carcinoma
  • vasopressor related
  • syncope
  • © 2004 Royal College of Physicians
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Nasal carcinoma – a rare indication for a permanent pacemaker
Simon Campbell, David Walker, Sandro Lanzon-Miller, Paul Gurr
Clinical Medicine Mar 2004, 4 (2) 165-167; DOI: 10.7861/clinmedicine.4-2-165

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Nasal carcinoma – a rare indication for a permanent pacemaker
Simon Campbell, David Walker, Sandro Lanzon-Miller, Paul Gurr
Clinical Medicine Mar 2004, 4 (2) 165-167; DOI: 10.7861/clinmedicine.4-2-165
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