Cough induced syncope: A hint to cardiac tamponade diagnosis.

作者: Roberto Ramirez , Glenmore Lasam

DOI: 10.4330/WJC.V9.I5.466

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摘要: We report a case of 75-year-old male with history lung adenocarcinoma who presented shortness breath and frequent episodes cough-induced syncope. A large pericardial effusion was found on echocardiogram suggestive cardiac tamponade. Pericardiocentesis done which improved the dyspnea eventually resolved There are only two other cases reported in literature syncope setting or Our clinical vignette also highlights importance pulsus paradoxus identification patients cough induced to rule out tamponade since this is most sensitive physical finding for its diagnosis.

参考文章(9)
Rajat Dhar, Robert J Duke, Brian J Sealey, Cough syncope from constrictive pericarditis: a case report. Canadian Journal of Cardiology. ,vol. 19, pp. 295- 296 ,(2003)
Yuji Saito, Amanda Donohue, Sherwin Attai, Arash Vahdat, Ramandeep Brar, Iroshan Handapangoda, P. Anthony Chandraratna, The syndrome of cardiac tamponade with "small" pericardial effusion. Echocardiography-a Journal of Cardiovascular Ultrasound and Allied Techniques. ,vol. 25, pp. 321- 327 ,(2007) , 10.1111/J.1540-8175.2007.00567.X
Hazem El-Osta, Salman Ashfaq, Cough-Induced Syncope as an Unusual Manifestation of Pericardial Effusion Kansas Journal of Medicine. ,vol. 1, pp. 53- 55 ,(2008) , 10.17161/KJM.V1I3.11270
Sanjith Saseedharan, Suyash Kulkarni, Rahul Pandit, Dilip Karnad, Unusual presentation of pericardial effusion. Indian Journal of Critical Care Medicine. ,vol. 16, pp. 219- 221 ,(2012) , 10.4103/0972-5229.106507
Itzhak Kronzon, Murray L. Cohen, Howard E. Winer, Diastolic atrial compression: a sensitive echocardiographic sign of cardiac tamponade. Journal of the American College of Cardiology. ,vol. 2, pp. 770- 775 ,(1983) , 10.1016/S0735-1097(83)80318-0
Edward I. Curtiss, P. Sudhakar Reddy, Barry F. Uretsky, Alfred A. Cecchetti, Pulsus paradoxus: definition and relation to the severity of cardiac tamponade. American Heart Journal. ,vol. 115, pp. 391- 398 ,(1988) , 10.1016/0002-8703(88)90487-5
David G. Benditt, Nemer Samniah, Scott Pham, Scott Sakaguchi, Fei Lu, Keith G. Lurie, Cengiz Ermis, Effect of cough on heart rate and blood pressure in patients with "cough syncope". Heart Rhythm. ,vol. 2, pp. 807- 813 ,(2005) , 10.1016/J.HRTHM.2005.04.022
Christopher L. Roy, Melissa A. Minor, M. Alan Brookhart, Niteesh K. Choudhry, Does This Patient With a Pericardial Effusion Have Cardiac Tamponade JAMA. ,vol. 297, pp. 1810- 1818 ,(2007) , 10.1001/JAMA.297.16.1810