Cough Syncope, a form of Neurocardiogenic Syncope, occurs immediately after coughing due to to arterial baroreflex-mediated vasodilatation. Cough syncope has been classically described in patients with obstructive pulmonary diseases. Pulmonary Vascular Diseases, though rare, also present with cough syncope. Malignant Syncope is defined as recurrent syncope with minimal warning, and often associated with self-injury. Here we describe how we managed a case of a young male presenting with recurrent attacks of Malignant Cough syncope.
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