Could a cough be causing your patient to pass out? In rare cases, post-tussive syncope isn’t cardiac or neurologic at all, but mechanical. A large hiatal hernia can send stomach and bowel into the chest, compressing the left atrium, and triggering syncope with coughing. When the ECG and basic workup are unrevealing, connect the clues between cough, syncope, and abnormal chest imaging. Watch the entire conversation between Jan and Swami on the EM:RAP app or our YouTube channel for the full pictur
1:18
Could a cough be causing your patient to pass out? In rare cases, post-tussive syncope isn’t cardiac or neurologic at all, but mechanical. A large hiatal hernia can send stomach and bowel into the chest, compressing the left atrium, and triggering syncope with coughing. When the ECG and basic workup are unrevealing, connect the clues between cough, syncope, and abnormal chest imaging. Watch the entire conversation between Jan and Swami on the EM:RAP app or our YouTube channel for the full pictur
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