Chapter

Case 15

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI: http://dx.doi.org/10.1093/med/9780199556373.003.015

Series: Oxford Case Histories

Case 15

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A 51-year-old man was referred with bouts of coughing followed by syncope. He described one initial episode of syncope following a sudden bout of coughing 18 months previously, and had been free of symptoms until 3 months ago. He described a persistent cough most days, not worse at any particular time of day or night (not wakening him at night) and not associated with any other respiratory, nasal or reflux symptoms. He had two or three episodes each week, where he rapidly lost consciousness following a few short coughs; this included one episode when he was driving his Heavy Goods Vehicle (as a refuse collector for the local council). He had never smoked, and had been taking citalopram for mild depression, and lisinopril for hypertension for the last 3 years. Full cardiovascular, respiratory and neurological examinations were normal. CXR and spirometry were also normal.

Chapter.  1732 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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