Sequential Use of Aminophylline and Theophylline for Temporizing Neck Cancer-Induced Carotid Sinus Syncope

JACC Case Rep. 2019 Nov 13;1(4):612-615. doi: 10.1016/j.jaccas.2019.09.017. eCollection 2019 Dec.

Abstract

Carotid sinus syncope due to head and neck cancer is uncommon and the management is challenging. Permanent pacemaker implantation is generally considered but malnutrition with subsequent chemo-radiation increases the risk of device infection. This is a first case report of the sequential use of aminophylline and theophylline for pharmacological temporization. (Level of Difficulty: Advanced.).

Keywords: CR, chemo-radiation; CSS, carotid sinus syncope; PPM, permanent pacemaker; SSS, sick sinus syndrome; aminophylline; carotid sinus syncope; neck cancer; pharmacological temporization; sequential use; theophylline.

Publication types

  • Case Reports