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Cardiac cephalgia: a diagnostic headache

A Shankar1, C L M Allan2, D Smyth3

  • 1Department of General Medicine, Christchurch Hospital, Christchurch, New Zealand.

Internal Medicine Journal
|October 14, 2016
PubMed

Insights

Exertional headaches can signal heart problems. A patient

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Exertional headaches are often overlooked as potential cardiac symptoms.
  • Coronary artery disease can manifest atypically.

Observation:

  • A 73-year-old man experienced exertional headaches for six months.
  • An exercise tolerance test revealed ischemic changes coinciding with headache severity.

Findings:

  • The patient was diagnosed with cardiac cephalgia.
  • Surgical intervention (coronary artery bypass surgery) resolved the headaches.

Implications:

  • Cardiac cephalgia is a rare but significant cause of exertional headaches.
  • Clinicians should consider cardiac etiologies in patients with exertional headaches, even without chest pain.

Keywords:
angina pectoriscephalgiacoronary artery diseaseexertional headachemyocardial ischaemia

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