Cardiac Cephalgia

Journal of Cardiology Cases, 2015

Journal of Clinical Neurology, 2010

BackgroundzzUnder certain conditions, exertional headaches may reflect coronary ischemia.

Journal of National Institute of Neurosciences Bangladesh, 2019

The clinical features of coronary artery disease vary, and patients may present with symptoms other than chest pain, such as headache. Rarely, the headache may be theonly presenting feature without any chest discomfort, and may be confused with migraine. Failure to distinguish such headache, caused by CAD, from migraine may result in wrong treatment with disastrous fate. Elderly patient with the presence of cardiovascular risk factors having recent onset exertional headache should be evaluated for the presence of cardiac cephalgia.We intend to report a 60-year-old hypertensive, diabetic patient with a 6-months history of episodic exertional headaches, who turned out to be a case of headache angina (cardiac cephalgia). Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 81-86

Journal of Cardiac Critical Care TSS

Retrosternal chest pain is the classical symptom of acute coronary syndrome (ACS). ACS sometimes presents with atypical symptoms and very rarely as headache as the only symptom. We present here a case where a patient who had undergone coronary artery bypass grafting presented with headache and on evaluation found to have complete occlusion of right coronary artery.

Sinir Sistemi Cerrahisi Dergisi

Chest pain accounts for 6% of emergency room presentations (1). Differential diagnosis of chest pain ranges from benign pain arising from musculoskeletal system to the malignant reasons that may be fatal unless diagnosed and treated promptly such as myocardial infarction and aortic dissection. It is difficult to exclude cardiovascular causes of chest pain in the patients with atherosclerotic risk factors even chest pain is atypical, and coronary angiography may become obligatory to exclude myocardial ischemia. Herein, we present seven patients, who presented to the cardiology clinic of our hospital with chest pain, in whom coronary angiography has become obligatory for the exclusion of myocardial ischemia, and of whom further examinations after exclusion of myocardial ischemia revealed thoracic schwannoma.

International Journal of Cardiology, 1986

Conte MR, Orzan F, Magnacca M, Brusca A, Zara P, Mioli PR, Todros L. Atypical chest pain: coronary or esophageal disease? Int J Cardiol 1986;13:135-142.

Journal of Heart Health, 2015

Coronary artery anomalies are rare, and single coronary arteries are even rarer occurring 0.024%-0.066% in the general population. They range in presentation from being asymptomatic to severe chest pain and even sudden death. There are numerous variations of Coronary artery anomalies, some benign and others potentially lethal. Benign variations include separate origination of the left anterior descending and left circumflex arteries from the left sinus of Valsalva, an ectopic origin of right coronary artery or left main trunk from the posterior sinus of Valsalva, and intercoronary communication. Potentially serious anomalies, which constitute 19% of anomalies, include an ectopic coronary origin form the pulmonary artery, an ectopic origin of the left coronary artery from the right sinus of Valsalva, and a Single Coronary Artery. We present a case of a 65-year-old lady who presented with chest pain and was diagnosed, incidentally on cardiac catheterization as having a single coronary artery supplying the entire heart. The cardiac catheterization showed the patient did not have a right coronary artery. Rather, left circumflex branch of left main coronary artery continued as right coronary artery to supply the right side of the heart. Thecatheterization also showed a 90% stenosis to the proximal diagonal 1 branch of the Left anterior descending; a percutaneous coronary intervention was performed to the diagonal 1 lesion. The patient was chest pain free upon discharge and instructed to follow up in cardiology clinic.

Digestive diseases and sciences, 1997

Severe nonexertional (resting) chest pain may be due to myocardial ischemia, esophageal dysfunction, psychiatric disorder, or any combination thereof and frequently poses a difficult diagnostic challenge. Our aim was to investigate causes of chest pain in patients with coronary artery disease. Forty-five patients with angiographically proven obstructive coronary lesions and recurrent chest pain at rest were studied; 18 had refractory pain despite cardiac therapy (problem group), and 27 had documented myocardial ischemia (control group). Esophageal manometry, edrophonium provocation, 24-hr pH studies, and psychiatric interview were performed in all patients. The clinical evolution and the outcome of specific treatment during follow-up was used to establish the etiology of chest pain. Esophageal dysfunction was identified in all problem patients and in 52% of controls, and the esophagus was incriminated as the source of pain in 8 (44%) and 5 (18.5%), respectively. After a mean follow-...

Cardiology, 2013

p < 0.0001). Symptomatic patients during percutaneous transluminal coronary angiography or myocardial infarction had a greater prevalence of primary headache than asymptomatic patients (p < 0.001 and p = 0.005, respectively). Conclusions: Our data suggest that a history of headache in CAD population is correlated to a high probability of anginal symptoms and a decreased probability of SMI. The anamnestic absence of headache requires a close monitoring for patients with risk factors for CAD, because this population seems to have a lower susceptibility to pain and the risk of developing SMI might be increased.

Oral surgery, oral medicine, and oral pathology, 1981