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Three Cases of Cough Syncope in Lung Cancer Patients

폐암환자에게 발생한 기침실신 3예

  • Kim, Ka-Young (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Cha, Seon-Ah (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Young-Woon (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Yu, Hyo-Kyeong (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lim, Ye-Jee (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • You, Si-Young (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Sung-Kyoung (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Chi-Hong (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Hoon-Kyo (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine)
  • 김가영 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 차선아 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김영운 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 유효경 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 임예지 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 류시영 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김성경 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김치홍 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김훈교 (가톨릭대학교 의과대학 성빈센트병원 내과학교실)
  • Received : 2011.11.20
  • Accepted : 2012.02.09
  • Published : 2012.02.29

Abstract

Cough syncope is characterized by the loss of consciousness occurring after vigorous coughings. There are approximately 90 reported cases of cough syncope within the medical literature. Most cases involving middle aged, overweight and chronic bronchitic male smokers. Although many studies have been published in the medical literature, the mechanism and pathophysiology for cough syncope has not been well established. Cough syncope is treated by correcting the underlying cause when identified, or by avoiding conditions that may cause the cough syncope. In addition, cough suppression modalities can also be used. We herein report 3 cases of cough syncope presenting in lung cancer patients.

Keywords

References

  1. Kapoor WN. Syncope. N Engl J Med 2000;343:1856-62. https://doi.org/10.1056/NEJM200012213432507
  2. Kapoor WN. Diagnostic evaluation of syncope. Am J Med 1991;90:91-106. https://doi.org/10.1016/0002-9343(91)90511-U
  3. McIntosh HD, Estes EH, Warren JV. The mechanism of cough syncope. Am Heart J 1956;52:70-82. https://doi.org/10.1016/0002-8703(56)90119-3
  4. Krediet CT, Wieling W. Edward P. Sharpey-Schafer was right: evidence for systemic vasodilatation as a mechanism of hypotension in cough syncope. Europace 2008;10:486-8. https://doi.org/10.1093/europace/eun022
  5. Bonekat HW, Miles RM, Staats BA. Smoking and cough syncope: follow-up in 45 cases. Int J Addict 1987;22: 413-9. https://doi.org/10.3109/10826088709027438
  6. Strasberg B, Sagie A, Erdman S, Kusniec J, Sclarovsky S, Agmon J. Carotid sinus hypersensitivity and the carotid sinus syndrome. Prog Cardiovasc Dis 1989;31:379-91 https://doi.org/10.1016/0033-0620(89)90032-7
  7. Benditt DG, Samniah N, Pham S, Sakaguchi S, Lu F, Lurie KG, et al. Effect of cough on heart rate and blood pressure in patients with "cough syncope". HeartRhythm 2005;2:807-13.
  8. Keer A Jr, Eich RH. Cerebral concussion as a cause of cough syncope. Arch Intern Med 1961;108:248-52. https://doi.org/10.1001/archinte.1961.03620080080008
  9. Kusuyama T, Iida H, Kino N, Shimodozono S, Kanazawa Y. Cough syncope induced by gastroesophageal reflux disease. J Cardiol 2009;54:300-3. https://doi.org/10.1016/j.jjcc.2008.11.007
  10. McCorry DJ, Chadwick DW, Barber P, Cooper PM, Wroe S. Cough syncope in Heavy Goods Vehicle drivers. QJM 2004;97:631-2. https://doi.org/10.1093/qjmed/hch100