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Clinical analysis of 30 cases of cardiac cephalalgia

Jia Xu1, Ningning Mao2, Chengze Wang1

  • 1Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Cephalalgia : an International Journal of Headache
|March 25, 2022
PubMed

Insights

Cardiac cephalalgia, a type of headache linked to heart conditions, typically presents with frontotemporal pain, chest discomfort, and sweating. Most patients experience relief with treatment, indicating a good prognosis for this cardiac-related headache.

Area of Science:

  • Cardiology
  • Neurology
  • Clinical Medicine

Background:

  • Cardiac cephalalgia is a recognized but often underdiagnosed condition.
  • Understanding its clinical features is crucial for accurate diagnosis and management.
  • Current diagnostic criteria may not fully encompass its varied presentations.

Purpose of the Study:

  • To investigate the clinical characteristics of cardiac cephalalgia.
  • To evaluate the suitability of existing diagnostic criteria.
  • To propose potential improvements for diagnostic criteria.

Main Methods:

  • Prospective and consecutive collection of 30 patients diagnosed with cardiac cephalalgia.
  • Analysis of clinical manifestations.
  • Comparison with established diagnostic criteria (2018).

Main Results:

  • Headache typically located in the frontotemporal region, moderate to severe intensity, pulsating or throbbing.
  • Common accompanying symptoms include chest pain (76.6%), chest tightness (70%), and sweating (63.3%).
  • Headache duration was often less than 30 minutes, with 29 out of 30 patients showing improvement after treatment.

Conclusions:

  • Cardiac cephalalgia is characterized by frontotemporal location, moderate-to-severe intensity, pulsating/throbbing pain, and short duration (<30 minutes).
  • Associated symptoms like chest pain, chest tightness, and sweating are significant and should be considered in diagnostic criteria.
  • The condition generally has a good prognosis with appropriate medical intervention.
Abstract

Keywords:
Cardiac cephalalgiaacute myocardial ischemiaanginaheadache

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