RT Journal Article
SR Electronic
T1 Nasal carcinoma – a rare indication for a permanent pacemaker
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 165
OP 167
DO 10.7861/clinmedicine.4-2-165
VO 4
IS 2
A1 Simon Campbell
A1 David Walker
A1 Sandro Lanzon-Miller
A1 Paul Gurr
YR 2004
UL http://www.rcpjournals.org/content/4/2/165.abstract
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.