Persistent coughing

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Submitted by Dr T on June 9, 2011 – 7:19am

Hi Dr T,

My Dad had an angioplasty done, where they introduced a stent on the LCA. He had a heart attack yers ago and had now developed further problems, one of the symptoms he had was coughing upon leaning back, which escalated to coughing all the time. This hasn’t subsided with the angio, and doctors say his heart is pumping fine therefore excluding heart failure. Could this cough be heart related? or does he need to see a lung specialist? Thank you for your help.

His doctors have only told you that it isn’t his heart causing the cough. His present symptoms are pulmonary instead. He needs a chest Xray and a CT scan, because what should be excluded is the possibility of a lung tumor. This type of positional coughing is less likely to be the result of an infection, which is usually associated with the production of abnormal sputum, fever etc. Meanwhile he needs continued evaluations for his coronary artery disease, to make sure nothing will change in the future!
If these tests are negative, other problems in his chest should be evaluated:
Hope this helps,
Dr T

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