PMID- 16272784 OWN - NLM STAT- MEDLINE DCOM- 20060310 LR - 20191109 IS - 1349-2365 (Print) IS - 1349-2365 (Linking) VI - 46 IP - 5 DP - 2005 Sep TI - Cough reflex by ventricular premature contractions. PG - 923-6 AB - A 72-year-old man was referred for further assessment of a chronic cough. He noticed an association between the episodes of coughing and palpitations. Electrocardiography (ECG) revealed normal sinus rhythm and sporadic unifocal ventricular premature contractions (VPCs). Each cough was preceded by a premature beat. Continuous wave Doppler echocardiography revealed a VPC-induced transient increase in the pulmonary artery blood flow. He was successfully treated for VPCs with oral disopyramide, resulting in subsidence of both the coughing and palpitations. We suspect that the VPC-induced hemodynamic changes in the pulmonary circulation might be responsible for coughing in our patient. Premature contractions should be considered as a possible cause of chronic dry cough in the clinical setting. FAU - Niimi, Akio AU - Niimi A AD - Division of Respiratory Medicine, Kyoto University Hospital, Japan. FAU - Kihara, Yasuki AU - Kihara Y FAU - Sumita, Yoshiyuki AU - Sumita Y FAU - Okano, Yoshiaki AU - Okano Y FAU - Tambara, Keiichi AU - Tambara K FAU - Fujita, Masatoshi AU - Fujita M LA - eng PT - Case Reports PT - Journal Article PL - Japan TA - Int Heart J JT - International heart journal JID - 101244240 RN - 0 (Anti-Arrhythmia Agents) RN - GFO928U8MQ (Disopyramide) SB - IM MH - Anti-Arrhythmia Agents/therapeutic use MH - Chronic Disease MH - Cough/*etiology MH - Disopyramide/therapeutic use MH - Echocardiography, Doppler MH - *Electrocardiography MH - Heart Rate MH - Humans MH - Male MH - Middle Aged MH - Ventricular Premature Complexes/*complications/*diagnosis/drug therapy EDAT- 2005/11/08 09:00 MHDA- 2006/03/11 09:00 CRDT- 2005/11/08 09:00 PHST- 2005/11/08 09:00 [pubmed] PHST- 2006/03/11 09:00 [medline] PHST- 2005/11/08 09:00 [entrez] AID - JST.JSTAGE/ihj/46.923 [pii] AID - 10.1536/ihj.46.923 [doi] PST - ppublish SO - Int Heart J. 2005 Sep;46(5):923-6. doi: 10.1536/ihj.46.923.