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Headache and sick sinus syndrome: A case report.

You-Cai Bi¹, Liang Gong²

¹Department of Neurology, Zigong Fourth People's Hospital, Zigong 643000, Sichuan Province, China.

World Journal of Clinical Cases

|July 2, 2020

Summary

Headaches can be an unusual symptom of sick sinus syndrome. Treating this cardiac condition with pacing and medication resolved the patient's headaches, suggesting a link.

Keywords:

Case report Differential diagnosis Electrocardiogram Headache Palpitations Sick sinus syndrome

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Area of Science:

Cardiology
Neurology

Background:

Sick sinus syndrome is a common cardiac condition with typical symptoms like palpitations and dizziness.
Headache is not a commonly reported symptom of sick sinus syndrome.

Observation:

A 73-year-old female experienced chronic headaches, often following palpitations.
Neurological examinations and imaging were normal, but Holter monitoring revealed sick sinus syndrome.

Findings:

Dual-chamber pacing and rate-controlling medication were initiated for the patient's sick sinus syndrome.
The patient's headaches and palpitations resolved within one year of treatment.

Implications:

This case suggests a potential link between sick sinus syndrome and headache.
Further research is warranted to explore the correlation between cardiac arrhythmias and headaches.