Key result
Medical therapy with diuretics, codeine, and antibiotics temporarily resolved cough syncope in an 87-year-old man with constrictive pericarditis, though episodes returned at a lower rate two months later.
Case Report (n=1)
No
Constrictive pericarditis is a rare potential cause of cough syncope that may respond to diuresis and antitussive therapy.
Constrictive pericarditis merits consideration in unexplained cough syncope; this case extends limited evidence but leaves open broader applicability.
An 87-year-old man with a diagnosis of constrictive pericarditis suffered from cough syncope up to 10 times per day on most days during his three-day stay at our hospital. After undergoing a series of treatments (diuretics, codeine and intravenous ceftizoxime), the patient still had a mild cough, although he did not experience any further syncopal episodes associated with coughing. Two months later, the syncopal episodes associated with coughing returned, but at a lower rate.
No takes yet. Share an insight, caveat, or question.
Zeng et al. (2013) conducted a case report in Constrictive pericarditis and cough syncope (n=1). Diuretics, codeine, and intravenous ceftizoxime was evaluated on Syncopal episodes associated with coughing. Medical therapy with diuretics, codeine, and antibiotics temporarily resolved cough syncope in an 87-year-old man with constrictive pericarditis, though episodes returned at a lower rate two months later.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: