Pavlicek-Bahlo Maryam, Hunziker Lukas
Universitätsklinik für Kardiologie, Inselspital Bern.
Ther Umsch. 2021;78(4):181-186. doi: 10.1024/0040-5930/a001257.
Cough from a cardiologic perspective A cough is at the efferent end of a complex reflex arc and, due to its well-known mechanical respiratory cleaning function, usually the first symptom prompting a pneumological clarification. However, the chemical and mechanical afferent neuronal parts of the reflex, the cough receptors, are distributed over a variety of organ systems, some of which directly and indirectly affect the heart. Cardiology therefore plays a central role in the clarification of coughs. In cardiology, a cough is most frequently caused by acute and chronic heart failure resulting from different types of cardiomyopathies. It can, however, be caused by other pathologies as well. The connection between cough and cardiac arrhythmia is interesting, although cough can be cause, consequence and therapy. Last but not least, almost all drugs frequently prescribed in cardiology can cause cough in one way or another. In addition, a cough is the current number 1 warning sign when it comes to COVID-19 infection. On the one hand, it must be differentiated from cardiac-induced coughs, but on the other hand it can also be closely related to them.
从心脏病学角度看咳嗽 咳嗽处于复杂反射弧的传出端,由于其众所周知的机械性呼吸清洁功能,通常是促使进行肺病学检查的首个症状。然而,反射的化学性和机械性传入神经部分,即咳嗽感受器,分布于多种器官系统,其中一些直接或间接影响心脏。因此,心脏病学在咳嗽的诊断中起着核心作用。在心脏病学中,咳嗽最常见的原因是不同类型心肌病导致的急慢性心力衰竭。然而,它也可能由其他病症引起。咳嗽与心律失常之间的联系很有意思,尽管咳嗽可能是原因、结果,也可能是治疗手段。最后但同样重要的是,心脏病学中几乎所有常用药物都可能以某种方式引起咳嗽。此外,咳嗽是新冠病毒感染目前的首要警示信号。一方面,必须将其与心脏引起的咳嗽区分开来,但另一方面,它也可能与心脏引起的咳嗽密切相关。