<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have just found out I have a hole on the heart, I had a very bad cough and my chest was killing me could this have created the hole. I now have another cough I don t see the Dr. for another 11 days not sure what to do, I don t want to have another strock  <response>: Hi Welcome to Chat Doctor . I have gone through your query and can understand your concern. Severe causes doesnt cause hole in heart. But a hole in heart can cause retention of fluids in lungs cause severe cough. This severe cough aggravates with physical activity or lying down. Severe cough with hole in heart should not be ignored, As this can be a worrisome symptom. Rush to the emergency roofer to a cardiologist Hope this information helps 