The cough reflex is an airway defensive process that can be
modulated by afferent inputs from organs located also out of the
respiratory system. A bidirectional relationship between cough
and heart dysfunctions are presented in the article, with the
special insights into an arrhythmia-triggered cough. Albeit rare,
cough induced by cardiac pathologies (mainly arrhythmias)
seems to be an interesting and underestimated phenomenon.
This condition is usually associated with the presence of
abnormal heart rhythms and ceases with successful treatment of
arrhythmia either by pharmacotherapy or by radiofrequency
ablation of arrhythmogenic substrate. The two main hypotheses
on cough-heart relationships – reflex and hemodynamic - are
discussed in the review, including the authors’ perspective based
on the experiences with an arrhythmia-triggered cough.