Carotid sinus syncope
ICD-10 G90.01 is a billable code used to indicate a diagnosis of carotid sinus syncope.
Carotid sinus syncope is a form of reflex syncope that occurs due to excessive stimulation of the carotid sinus, which is a baroreceptor located in the carotid artery. This condition is characterized by transient loss of consciousness, often triggered by neck movements, tight collars, or pressure on the carotid artery. The syncope results from a sudden drop in heart rate and blood pressure, leading to decreased cerebral perfusion. Patients may experience symptoms such as dizziness, lightheadedness, or fainting, which can pose risks of falls and injuries. Diagnosis typically involves a thorough clinical history, physical examination, and may include carotid sinus massage or tilt-table testing to provoke the response. Management strategies focus on lifestyle modifications, avoidance of triggers, and in some cases, the use of pacemakers for recurrent episodes. Understanding the autonomic nervous system's role in this condition is crucial, as it highlights the interplay between cardiovascular and neurological functions.
Detailed history of syncope episodes, triggers, and cardiovascular assessments.
Patients presenting with recurrent syncope, particularly with a history of carotid artery disease.
Documentation should include any cardiovascular evaluations and responses to carotid sinus massage.
Neurological assessments, including autonomic function tests and differential diagnosis considerations.
Patients with unexplained syncope or those with neurological symptoms accompanying syncope.
Focus on ruling out other neurological disorders that may mimic carotid sinus syncope.
Used in conjunction with G90.01 when evaluating cardiac causes of syncope.
ECG results must be documented in the patient's medical record.
Cardiology specialists should ensure comprehensive cardiac evaluations are included.
Carotid sinus syncope can be triggered by neck movements, tight collars, or pressure on the carotid artery, leading to a sudden drop in heart rate and blood pressure.
Diagnosis typically involves a detailed clinical history, physical examination, and may include carotid sinus massage or tilt-table testing to provoke the syncope response.
