Mechanisms of cough syncope as evaluated by valsalva maneuver

Kaohsiung Journal of Medical Sciences

Volumn 23, Issue 2, 2007, Pages 55-62

  Chao, A Ching ^a,b   Lin, Ruey Tay ^a,b   Liu, Ching Kuan ^a,b   Wang, Pao Yu ^c   Hsu, Hung Yi ^c  

^a KAOHSIUNG MEDICAL UNIVERSITY   (Taiwan)

^b KAOHSIUNG MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^c TAICHUNG VETERANS GENERAL HOSPITAL   (Taiwan)

Author keywords

Cough syncope; Hypotension; Intrathoracic pressure; Valsalva maneuver

Indexed keywords

ADULT; AGED; AORTA STENOSIS; ARTICLE; BLOOD PRESSURE MONITORING; BODY MASS; BRAIN BLOOD FLOW; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; COUGHING; DOPPLER ECHOGRAPHY; HUMAN; HYPOTENSION; MALE; PATHOGENESIS; PLETHYSMOGRAPHY; SYNCOPE; THORAX PRESSURE; VALSALVA MANEUVER;

EID: 33947126511     PISSN: 1607551X     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1607-551X(09)70375-4     Document Type: Article

References (28)

1. Pedersen A, Sandoe E, Hvidberg E, et al. Studies on the mechanism of tussive syncope. Acta Med Scand 1966;179:653-61.
2. Sharpey-Schafer EP. The mechanism of syncope after coughing. Br Med J 1953;4841:860-3.
3. 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;2:807-13.
4. Mattle HP, Nirkko AC, Baumgartner RW, et al. Transient cerebral circulatory arrest coincides with fainting in cough syncope. Neurology 1995;45:498-501.
5. McIntosh HD, Estes EH, Warren JV. The mechanism of cough syncope. Am Heart J 1956;52:70-82.
6. Desser KB, Harris CL, Benchimol A. Carotid blood velocity during cough studies in man. Stroke 1976;7:416-8.
7. McCann WS, Bruce RA. Tussive syncope; observations on the disease formerly called laryngeal epilepsy, with report of two cases. Arch Med Interna 1949;84:845-56. [Illustration]
8. Lee D, Beldner S, Pollaro F, et al. Cough-induced heart block. Pacing Clin Electrophysiol 1999;22:1270-1.
9. Kerr A Jr, Derbes VJ. The syndrome of cough syncope. Ann Intern Med 1953;39:1240-53.
10. Low PA. Autonomic nervous system function. J Clin Neurophysiol 1993;10:14-27.
11. Low PA. Laboratory evaluation of autonomic function. In: Low PA, ed. Clinical Autonomic Disorders: Evaluation and Management. Philadelphia: Lippincott-Raven, 1997:179-208.
12. Porth CJ, Bamrah VS, Tristani FE, et al. The valsalva maneuver: mechanisms and clinical implications. Heart Lung 1984;13:507-18.
13. Nishimura RA, Tajik AJ. The valsalva maneuver and response revisited. Mayo Clin Proc 1986;61:211-7.
14. Ferrer MT, Kennedy WR, Sahinen F. Baroreflexes in patients with diabetes mellitus. Neurology 1991;41:1462-6.
15. Denq JC, O'Brien PC, Low PA. Normative data on phases of the valsalva maneuver. J Clin Neurophysiol 1998;15:535-40.
16. Mills H, Kattus AA Jr. The emphysema response to forced straining (valsalva's maneuver). Circulation 1958;17:65-71.
17. Zema MJ, Masters AP, Margouleff D. Dyspnea: the heart or the lungs? Differentiation at bedside by use of the simple valsalva maneuver. Chest 1984;85:59-64.
18. Hausknecht MJ, Wise RA, Brower RG, et al. Effects of lung inflation on blood flow during cardiopulmonary resuscitation in the canine isolated heart-lung preparation. Circ Res 1986;59:676-83.
19. Martin J, Jardim J, Sampson M, et al. Factors influencing pulsus paradoxus in asthma. Chest 1981;80:543-9.
20. Obermiller T, Lakshminarayan S, Willoughby S, et al. Influence of lung volume and alveolar pressure on reverse pulmonary venous blood flow. J Appl Physiol 1992;73:195-9.
21. Scharf SM. Cardiovascular effects of airways obstruction. Lung 1991;169:1-23.
22. Santamore WP, Heckman JL, Bove AA. Right and left ventricular pressure-volume response to respiratory maneuvers. J Appl Physiol 1984;57:1520-7.
23. Little WC, Barr WK, Crawford MH. Altered effect of the valsalva maneuver on left ventricular volume in patients with cardiomyopathy. Circulation 1985;71:227-33.
24. Bonekat HW, Miles RM, Staats BA. Smoking and cough syncope: follow-up in 45 cases. Int J Addict 1987;22:413-9.
25. Morrison NJ, Abboud RT, Muller NL, et al. Pulmonary capillary blood volume in emphysema. Am Rev Respir Dis 1990;141:53-61.
26. Sandroni P, Benarroch EE, Low PA. Pharmacological dissection of components of the valsalva maneuver in adrenergic failure. J Appl Physiol 1991;71:1563-7.
27. Linzer M, McFarland TA, Belkin M, et al. Critical carotid and vertebral arterial occlusive disease and cough syncope. Stroke 1992;23:1017-20.
28. Singer W, OpferGgehrking TL, McPhee BR, et al. Influence of posture on the valsalva manoeuvre. Clin Sci (Lond) 2001;100:433-40.