The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

Cough Syncope due to Atrioventricular Block

방실전도차단에 의한 기침 실신

  • Kim, Jung-Ok (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Eun-Jung (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Min, Shin-Young (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Yun-Gyoung (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, A-Jin (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeon, Jun-Seok (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jun-Su (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김정옥 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 김은정 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 민신영 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 박윤경 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 조아진 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 전준석 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 김준수 (성균관대학교 의과대학 삼성서울병원 내과)
  • Published : 2011.08.01
⟨ Previous Next ⟩

Abstract

We report the case of a 52-year-old man who had two syncopal episodes associated with coughing. Other than essential hypertension, he had no organic disease of the heart or lungs. Transient complete atrioventricular block following coughing was detected by electrocardiographic telemonitoring while resting. During that time, the patient experienced near-syncope similar to his previous syncopal episodes. He was treated successfully with permanent pacemaker implantation.

저자들은 다른 기저 질환이 없는 환자에서 발생한 기침과 동반한 방실전도차단과 관련된 기침 유발성 실신을 영구형 심박동기 삽입술로 치료하였던 예를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Kapoor WN. Syncope. N Engl J Med 2000;343:1856-1862. https://doi.org/10.1056/NEJM200012213432507
  2. Moya A, Sutton R, Ammirati F, et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J 2009;30:2631-2671. https://doi.org/10.1093/eurheartj/ehp298
  3. Soteriades ES, Evans JC, Larson MG, et al. Incidence and prognosis of syncope. N Engl J Med 2002;347:878-885. https://doi.org/10.1056/NEJMoa012407
  4. Lee D, Beldner S, Pollaro F, Jadonath R, Maccaro P, Goldner B. Cough-induced heart block. Pacing Clin Electrophysiol 1999;22:1270-1271. https://doi.org/10.1111/j.1540-8159.1999.tb00615.x
  5. Sharpey-Schafer EP. The mechanism of syncope after coughing. Br Med J 1953;2:860-863. https://doi.org/10.1136/bmj.2.4841.860
  6. Choi YS, Kim JJ, Oh BH, Park YB, Seo JD, Lee YW. Cough syncope caused by sinus arrest in a patient with sick sinus syndrome. Pacing Clin Electrophysiol 1989;12:883-886. https://doi.org/10.1111/j.1540-8159.1989.tb05024.x
  7. Wenger TL, Dohrmann ML, Strauss HC, Conley MJ, Wechsler AS, Wagner GS. Hypersensitive carotid sinus syndrome manifested as cough syncope. Pacing Clin Electrophysiol 1980;3:332-339. https://doi.org/10.1111/j.1540-8159.1980.tb05240.x
  8. Mancia G, Bonazzi O, Pozzoni L, et al. Baroreceptor control of atrioventricular conduction in man. Circ Res 1979;44:752-758. https://doi.org/10.1161/01.RES.44.6.752
  9. Benditt DG, Samniah N, Pham S, et al. Effect of cough on heart rate and blood pressure in patients with "cough syncope". Heart Rhythm 2005;2:807-813. https://doi.org/10.1016/j.hrthm.2005.04.022
  10. Hart G, Oldershaw PJ, Cull RE, Humphrey P, Ward D. Syncope caused by cough-induced complete atrioventricular block. Pacing Clin Electrophysiol 1982;5:564-566. https://doi.org/10.1111/j.1540-8159.1982.tb02279.x
  11. Baron SB, Huang SK. Cough syncope presenting as Mobitz type II atrioventricular block: an electrophysiologic correlation. Pacing Clin Electrophysiol 1987;10:65-69. https://doi.org/10.1111/j.1540-8159.1987.tb05925.x