Carotid sinus hypersensitivity (CSH) is an exaggerated response to carotid sinus baroreceptor stimulation. It results in dizziness or fainting from a temporarily reduced blood supply to the brain. CSH predominantly affects older males, for whom, even mild stimulation to the neck results in a marked slowing of heart rate and a drop in blood pressure. CSH is divided into spontaneous and induced carotid sinus syndromes. This condition is associated with an increased risk of falls, drop attacks, bodily injuries and fractures in elderly patients. A high blood pressure and coronary artery disease are usually associated with this condition.
The management of CSH is based on the frequency, severity and consequences of each patient’s symptoms. Most patients can be treated with education, lifestyle changes and routine follow-ups. Ayurvedic treatment is indicated for those individuals who have severe and recurrent symptoms. Treatment is aimed at reducing the attacks of fainting and giddiness, treating the underlying pathology of the disease and preventing complications. The exaggerated response of the carotid sinus is treated using medicines like Bruhat-Vat-Chintamani, Maha-Vat-Vidhwans-Ras, Vat-Gajankush-Ras, Tapyadi-Loh, Ekang-Veer-Ras, Vish-Tinduk-Vati and Chandrakala-Ras. Frequent fainting spells can be reduced using medicines like Maha-Laxmi-Vilas-Ras, Laxmi-Vilas-Ras, Shrung-Bhasma, Abhrak-Bhasma, Ras-Sindur and Makar-Dhwaj.
Medicines which specifically target the arteries and artery walls are used on a long term basis. These medicines include Arjun (Terminalia arjuna), Manjishtha (Rubia cordifolia), Saariva (Hemidesmus indicus), Haritaki (Terminalia chebula), Pippali (Piper longum), Haridra (Curcuma longa), Patol (Tricosanthe dioica), Patha (Cissampelos pareira) and Nimba (Azadirachta indica). In addition, atherosclerosis also needs to be treated using medicines like Triphala (Three fruits), Trikatu (Three pungent herbs), Guggulu (Commiphora mukul), Psyllium (Plantago ovata), Lashuna (Allium sativum) and Kutki (Picrorrhiza kurroa).
For most patients affected with CSH, restriction of activities is usually not necessary. However, precipitating events should be avoided such as wearing tight neck collars or sudden rotating neck movements. Patients with severe symptoms should be advised against driving vehicles. All such patients should be under the regular care and supervision of a Cardiologist.
Source by Abdulmubeen Mundewadi