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Characteristics of headache during and/or after coronary intervention: A prospective observational study

Chenglong Lu1,2, Leyi Zhang1,2, Cuixiang Liu3

  • 1Medical School of Chinese People's Liberation Army (PLA), Beijing, China.

Cephalalgia : an International Journal of Headache
|November 10, 2021
PubMed

Insights

Headache after coronary intervention affects 25.4% of patients. A history of headaches is a key risk factor for developing this common complication. Further research is needed to establish diagnostic criteria.

Area of Science:

  • Cardiology
  • Neurology
  • Clinical Research

Background:

  • Headache following coronary intervention is a frequent yet understudied issue.
  • Lack of attention from medical specialists may hinder diagnosis and management.

Purpose of the Study:

  • To determine the incidence and identify risk factors for headaches associated with coronary interventions.
  • To explore potential mechanisms underlying coronary intervention-related headaches.

Main Methods:

  • Prospective observational study design.
  • Inclusion of consecutive patients undergoing coronary intervention between May 2020 and August 2020.
  • Follow-up assessments using questionnaires at multiple time points post-intervention (immediately, 24h, 72h, 1 week, 2 weeks).

Main Results:

  • 18 out of 71 (25.4%) patients developed headaches during or after coronary intervention.
  • Two distinct headache types were identified: those occurring during and those occurring after the procedure.
  • A history of previous headaches was identified as an independent risk factor (p < 0.01).

Conclusions:

  • Coronary intervention-related headache occurs in 25.4% of patients, with prior headache history being a significant risk factor.
  • The study highlights the need for established diagnostic criteria for this condition.
  • Recommendations include defining coronary intervention-related headache within the International Classification of Headache Disorders.
Abstract

Keywords:
ICHD-3angiography headachecoronary intervention-related headachediagnostic criteriadigital subtraction angiography (DSA)

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