title: [Cough as a rare symptom of a pacemaker lead perforation].
abstract: Cough is a common symptom in respiratory medicine. We report on a 60-year-old patient, who developed cough after pacemaker implantation. Diagnostic work up yielded malposition of the right-ventricular lead with penetration of the myocardium. Revision of the lead resulted in complete cessation of cough.
  
  
  CONCLUSIONS
  Pacemaker dysfunction and/or malposition of pacemaker lead should be considered in differential diagnosis of cough after pacemaker implantation.
authors.affiliation: St. Vincenz KH, Klinik für Kardiologie, Pneumologie und Int. Intensivmedizin, Limburg/Lahn.
authors.forename: S
authors.initials: S
authors.lastname: Steiner
authors.affiliation: Klinik für Kardiologie und Pneumologie, MEDIAN Klinikum Flechtingen.
authors.forename: P O
authors.initials: PO
authors.lastname: Schueller
authors.affiliation: Institut für Diagnostische Radiologie, Städtische Kliniken Mönchengladbach.
authors.forename: D
authors.initials: D
authors.lastname: Blondin
authors.affiliation: Universitätsklinikum Düsseldorf, Klinik für kardiovaskuläre Chirurgie, Düsseldorf.
authors.forename: J
authors.initials: J
authors.lastname: Winter
mesh_terms: D003371:Cough / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology*