Cardiac cephalalgia: First case from India

Cardiac cephalalgia: First case from India

A 67-year-old male smoker had exertional headaches for 2 years. The headaches were holocephalic, very severe, excruciating, and occasionally accompanied by nausea. Physical examinations and neuroimaging were normal. Electrocardiogram (ECG) showed old infarct in inferior leads. Sublingual nitrate pro...

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Veröffentlicht in:Annals of the Indian Academy of Neurology 2016-04, Vol.19 (2), p.252-254
Hauptverfasser: Prakash, Sanjay, Panchani, Nirav, Rathore, Chaturbhuj, Makwana, Prayag, Rathod, Mitali
Format: Artikel
Sprache:eng
Schlagworte:
Angina
cardiac cephalalgia
Cardiovascular disease
Case Report
coronary artery disease
Coronary vessels
Diabetes
Electrocardiography
exertional headache
Headaches
Heart attacks
Heart surgery
Hypertension
Ischemia
Migraine
Mortality
Nausea
NMR
Nuclear magnetic resonance
Older people
Pain
Patients
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Zusammenfassung:A 67-year-old male smoker had exertional headaches for 2 years. The headaches were holocephalic, very severe, excruciating, and occasionally accompanied by nausea. Physical examinations and neuroimaging were normal. Electrocardiogram (ECG) showed old infarct in inferior leads. Sublingual nitrate provided relief in headaches. Stress test was positive with recurrence of similar headaches with ECG changes suggestive of myocardial ischemia. Coronary angiogram revealed three-vessel disease. Coronary artery bypass surgery provided complete resolution of headaches.
ISSN:0972-2327
1998-3549
DOI:10.4103/0972-2327.165467