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Premature ventricular complex-induced chronic cough and cough syncope

S. Stec¹, M. Dbrowska², B. Zaborska¹, P. Bielicki², M. Maskey-Warzchowska², W. Tarnowski³, R. Chazan² and P. Kulakowski¹

¹ Postgraduate Medical School, Depts of Cardiology, and ³ General and Gastroenterological Surgery, Grochowski Hospital, and ² Warsaw Medical University, Dept of Internal Diseases, Pneumology and Allergology, Warsaw, Poland.

CORRESPONDENCE: P. Kulakowski, Postgraduate Medical School, Dept of Cardiology, Grochowski Hospital, Grenadierow 51/59 Street, 04-073 Warsaw, Poland. Fax: 48 228711108. E-mail: smstec{at}wp.pl

Keywords: Arrhythmias, cardiovascular disease, chronic cough, complication, symptom evaluation and management, syncope

Received: May 10, 2006
Accepted January 10, 2007

The present case study reports a case of chronic cough and cough syncope associated with frequent premature ventricular complexes (PVCs).

Careful analysis of cough-related symptoms and ECG monitoring led to the suspicion of PVC-induced cough. A coincidence between PVCs and episodes of cough was also documented by a portable multichannel recorder. Moreover, Doppler echocardiography revealed a PVC-induced transient increase in the pulmonary artery blood flow.

After exclusion of other possible aetiologies, complete relief of chronic cough and cough syncope was achieved by radiofrequency ablation of the arrhythmogenic focus located in the right ventricular outflow tract.

Premature ventricular complexes should be considered as a cause of chronic cough and cough syncope and an interdisciplinary cooperation can lead to successful diagnosis and treatment of this condition.

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