Case Report

COUGH-INDUCED SYNCOPE: UNEXPECTED RESULT OF MALIGNANT PERICARDIAL EFFUSION

Volume: 6 Number: 2 May 20, 2025
Zeynab Haidara *, Gültekin Kadı , Ahmet Demircan
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COUGH-INDUCED SYNCOPE: UNEXPECTED RESULT OF MALIGNANT PERICARDIAL EFFUSION

Abstract

Cough, shortness of breath, chest pain, and pleural and pericardial effusion are common symptoms in patients with lung cancer. We report a case of a 39-year-old male with a history of lung adenocarcinoma who initially presented with chest pain followed by recurrent episodes of cough-induced syncope. Echocardiographic assessment confirmed the presence and severity factor of pericardial effusion established. This case highlights the importance of suspecting pericardial effusion and potential cardiac tamponade in patients with known malignancies or rheumatological conditions presenting to the emergency department with cough or hypotensive episodes, particularly those reporting syncope. To minimize mortality risk, it is critical to implement a thorough diagnostic algorithm when such symptoms are observed.

Keywords

Cough-induced syncope , Pleural effusion , Pericardial effusion , Pericardiocentesis

References

  1. Vemireddy LP, Jain N, Aqeel A, Jeelani HM, Shayuk M. Lung adenocarcinoma presenting as malignant pericardial effusion/tamponade. Cureus 13(3):e13762.
  2. Dessalegn N, Felux K, Seid E, Mohammed A. Primary lung adenocarcinoma presenting as cardiac tamponade in a 40-year-old non-smoker. Cureus 14(1):e21631.
  3. Aujayeb A, Tufayl H, Jackson K, Shah HA. Pericardial effusion and lung cancer: a retrospective analysis. Clin Med (Lond) 22(4):e4.
  4. Dicpinigaitis PV, Lim L, Farmakidis C. Cough syncope. Respir Med. 108(2):244-51.
  5. Ramirez R, Lasam G. Cough-induced syncope: a hint to cardiac tamponade diagnosis. World J Cardiol. 26;9(5):466-9.

Details

Primary Language

English

Subjects

Emergency Medicine

Journal Section

Case Report

Authors

Publication Date

May 20, 2025

Submission Date

December 4, 2024

Acceptance Date

January 13, 2025

Published in Issue

Year 2025 Volume: 6 Number: 2

DOI

https://doi.org/10.47482/acmr.1595567

IZ

https://izlik.org/JA68XG78JP

Cite

RIS / Bibtex
APA
Haidara, Z., Kadı, G., & Demircan, A. (2025). COUGH-INDUCED SYNCOPE: UNEXPECTED RESULT OF MALIGNANT PERICARDIAL EFFUSION. Archives of Current Medical Research, 6(2), 143-146. https://doi.org/10.47482/acmr.1595567

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