Cough-syncope syndrome in a patient with severe exacerbation of COPD. (A clinical case)

In a patient with a severe exacerbation of chronic obstructive pulmonary disease, there was a concomitant manifestation of cough-syncope syndrome with episodes of loss of consciousness at the height of cough attacks. The patient’s severe condition, progressive respiratory failure against the background of massive obstruction of the lower respiratory tract by bronchial secretions, forced to use bronchological aid. Instead of standard local anesthesia, deep sedation under the cover of glucocorticosteroids was used to suppress the cough reflex. Bronchological intervention was carried out in full and resolved pronounced bronchial obstruction. The performed bronchological interventions against the background of intensive systemic therapy allowed to stop the severe exacerbation of the disease and to level out the manifestations of cough-fainting syndrome.