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Heart Disease Health Center

Coughing May Help During Heart Attack

Polish Doctor Claims Simple Technique Works Like Do-It-Yourself CPR
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Sept. 2, 2003 (Vienna, Austria) - If you're feeling chest pain and there's no one around to administer CPR should it be needed, remember this: cough. It could save your life, says one researcher at an international meeting of heart specialists.

Tadeusz K. Petelenz, MD, a Polish cardiologist, is campaigning to convince other heart specialists to back his "Cough-CPR" program.

Petelenz says that most cases of sudden cardiac death -- an immediate shut down of the heart -- happen in the home (a heart attack, which is brought on by a blocked artery, is the major cause of sudden cardiac arrest, which is an "electrical" malfunction in the heart). By the time help arrives the person is often unconscious, which makes life-saving resuscitation difficult. He says his Cough-CPR can keep the heart functioning long enough for help to arrive.

The mechanical action of the cough acts as a do-it-yourself CPR that delivers needed thumps to the chest, Petelenz says. Those thumps stimulate electrical activity in the heart and keep it beating. To demonstrate the effect, he asked a reporter here at a European Society of Cardiology press conference to find her pulse. "Now cough and feel the difference." The journalist said she did "feel" a difference.

Cough ... 1, 2, 3

Petelenz describes his program this way: the patient is trained to cough every one to two seconds in bouts of five coughs. This process is repeated in regular morning and evening training sessions until the patient can cough for as many as 10 to 30 coughs in each bout.

But learning the cough is only one part of the program -- patients are also taught to recognize symptoms of sudden cardiac arrest: shortness of breath, sudden nausea, dizziness, inappropriate sweating, blurred vision, sudden weakness and trembling hands. These symptoms can occur singly or in combination, he says.

To prove his point, Petelenz taught 115 patients with a history of cardiac arrest symptoms to recognize the symptoms and initiate coughing. The patients used the cough in "365 instances of perceived [warning] symptoms of fainting. As a result symptoms disappeared in 292 cases and only 73 cases needed additional medical assistance," he says. Moreover, all the patients "survived until follow-up therapy was initiated, which included pacemaker implants, heart surgery and medical treatments."

Petelenz, who carries stacks of pamphlets that describe the Cough-CPR program, says he wants community organizations to teach his program just as CPR is taught.

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