PT  - JOURNAL ARTICLE
AU  - Simon Campbell
AU  - David Walker
AU  - Sandro Lanzon-Miller
AU  - Paul Gurr
TI  - Nasal carcinoma – a rare indication for a permanent pacemaker
AID  - 10.7861/clinmedicine.4-2-165
DP  - 2004 Mar 01
TA  - Clinical Medicine
PG  - 165--167
VI  - 4
IP  - 2
4099  - http://www.rcpjournals.org/content/4/2/165.short
4100  - http://www.rcpjournals.org/content/4/2/165.full
SO  - Clin Med2004 Mar 01; 4
AB  - 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.