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Article
March 14, 1977

Re: Cough-Induced Cardiac Compression

JAMA. 1977;237(11):1079. doi:10.1001/jama.1977.03270380023011

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Abstract

To the Editor.—  In a recent article entitled "Cough-Induced Cardiac Compression" (236:1246, 1976), we describe a 20-year-old patient in whom ventricular asystole developed during interruption of cardiac pacing; this incident was included to establish that cardiac arrest leads to unconsciousness in less than the observed time of sustained consciousness in the patients with cardiac arrest who underwent "cough-induced CPR." In order to clarify the circumstances under which the observations on the patient with the pacemaker were made, it should be noted that the asystole occurred during the changeover from a temporary to a permanent pulse generator (pacemaker), and when pacemaker dependency was observed, all due haste was exercised in completing the electrical connection to the permanent generator. The ECG record documented the duration of asystole, as well as the time of onset of the seizure episode.It should be stressed that the prolonged deprivation of pacing was not intentional, but resulted

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