Chest
Volume 133, Issue 3, March 2008, Page 828
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CORRESPONDENCE
Premature Atrial Contraction as an Etiology for Cough

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To the Editor:

Comprehensive contemporary reviews1 of cough do not include cardiac arrhythmia as a potential cause of unexplained cough, although cough itself has been described as a cause for tachyarrhythmia.23 I have encountered three patients recently with a clinical history of cough immediately following a palpitation. During echocardiography, these patients were seen to have a single premature atrial contraction (PAC) prior to a cough, which reproduced their symptoms. The patients' histories all include

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Cited by (10)

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    However, further considerations are warranted for clinical heterogeneity for chronic cough in the elderly, including lung parenchymal diseases, reflux, ACEi medication or other comorbidities (Fig. 3). Although rare, cardiac conditions such as left heart failure, endocarditis and cardiac arrhythmia are reported to be causes of chronic cough [25–28]. Drugs other than ACEi, such as topiramate, methotrexate, or mycophenolate mofetil, might be also associated with cough [29–32].

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  • Chronic Cough in Older Adults

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The author has no conflict of interest to disclose.

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