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Frequency of craniofacial pain in patients with ischemic heart disease

Mahin Bakhshi1, Rezvan Rezaei2, Maryam Baharvand3

  • 1Associate Professor, Dept. of Oral Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Journal of Clinical and Experimental Dentistry
|February 3, 2017
PubMed

Insights

Craniofacial pain can be a primary symptom of ischemic heart disease. This pain, often in the head or neck, is linked to hyperlipidemia and smoking, not age or hypertension.

Area of Science:

  • Cardiology
  • Neurology
  • Pain Medicine

Background:

  • Referred craniofacial pain can be the sole indicator of ischemic heart events.
  • Understanding the prevalence of craniofacial pain in ischemic heart disease (IHD) is crucial for diagnosis.

Purpose of the Study:

  • To determine the frequency of craniofacial pain in patients diagnosed with ischemic heart disease.

Main Methods:

  • A cross-sectional study involving 296 patients with confirmed ischemic heart disease.
  • Data collected included demographics, medical history, and craniofacial pain; dental causes were excluded.
  • Statistical analysis used Chi-square, Student's t-test, and regression, with P<0.05 considered significant.

Main Results:

  • Of 296 patients, 53 (17.9%) reported craniofacial pain, predominantly in males (66%).
  • Common pain sites included the occipital/posterior neck (52.8%), head (43.3%), and throat/anterior neck (41.5%).
  • Craniofacial pain showed significant associations with hyperlipidemia and smoking, but not with age, diabetes, or hypertension.

Conclusions:

  • Craniofacial pain is a common referred symptom during cardiac ischemia.
  • Awareness among dental practitioners is vital to avoid misdiagnosis and treatment delays.
  • This highlights the importance of considering cardiac origins for unexplained facial and head pain.
Abstract

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