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2011, Number 1

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Rev Mex Cardiol 2011; 22 (1)

Cardiac cephalalgia; an unusual presentation of ischemic heart disease. A case report

Solís OCA

Language: Spanish
References: 9
Page: 44-48
PDF size: 267.35 Kb.


ABSTRACT

Headache is a rare clinical manifestation of ischemic heart disease. The pathogenesis may be explained by the convergence in cervical spinal segments of the cardiac plexus autonomic fibers with somatic fibers of the head and neck. Its describe the case of a patient in the fifth decade of life, with a history of hypertension, mixed dyslipidemia and obesity, whose main clinical manifestation was a severe headache caused by moderate exertion, which was eventually caused by a severe occlusion a coronary artery. In individuals with cardiovascular risk factors should be taken into account this diagnostic possibility, to avoid delays in appropriate medical care.


REFERENCES

  1. Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders, ed 2, Cephalalgia 2004; 24(suppl 1): 1-160.

  2. Kreiner M, Okeson J, Michelis V, Lujambio M, Isberg A. Dolor craneofacial como síntoma aislado de isquemia miocárdica. Un estudio prospectivo multicéntrico. JADA 2007; 2: 105-110.

  3. Korantzopoulus P, Karanikis P, Pappa E, Dimitroula V, Kountouris E, Siogas K. Acute non-ST-elevation myocardial infarction presented as occipital headache with impaired level of consciousness. A case report. Angiology 2005; 56: 627-630.

  4. Culic V, Miric D, Eterovic D. Correlation between symptomatology and site of acute myocardial infarction. Int J Cardiol 2001; 77: 163-168.

  5. Gutiérrez-Morlote J, Fernández J, Timiraos J, Llano M, Rodríguez E, Pascual J. Cefalea cardiaca: ¿una entidad infradiagnosticada? Rev Esp Cardiol 2005; 58: 1476-478.

  6. Chen S-P, Fuh J-L, Yu W-C, Wang S-J. Cardiac Cephalalgia. Case report and review of the literature with new ICHD-II criteria revisited. Eur Neurol 2004; 51: 221-226.

  7. Yang Y-S, Jeong D, Jin D-G, Jang II-M, Jang Y-H, Na H-R et al. A case of cardiac cephalalgia showing reversible coronary vasospasm on coronary angiogram. J Clin Neurol 2010; 6: 99-101.

  8. Armour JA. Myocardial ischaemia and the cardiac nervous system. Cardiovasc Res 1999; 41: 41-54.

  9. Qin C, Chandler MJ, Miller KD, Foreman RD. Responses and afferent pathways of superficial and deeper C1–C2 spinal cells to intrapericardial algogenic chemicals in rats. J Neurophysiol 2001; 85: 1522-1532.




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