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Prevalence, clinical characteristics and associated factors of cardiac cephalalgia: A prospective study

María Pilar Navarro-Pérez1,2, Judit Espinosa-Rueda1,2, Sara Ballesta-Martínez1,2

  • 1Neurology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.

Cephalalgia : an International Journal of Headache
|March 15, 2023
PubMed

Insights

Cardiac cephalalgia affects 14.2% of patients with suspected acute coronary syndrome. This study details its features, suggesting a need to revise diagnostic criteria for this heart-related headache.

Area of Science:

  • Cardiology
  • Neurology
  • Clinical Research

Background:

  • Cardiac cephalalgia prevalence and clinical features are poorly understood.
  • Limited data exists on associated factors for this specific headache type.

Purpose of the Study:

  • To determine the prevalence of cardiac cephalalgia.
  • To describe its clinical characteristics.
  • To identify associated factors in patients with suspected acute coronary syndrome.

Main Methods:

  • Prospective study of 438 patients admitted for suspected acute coronary syndrome.
  • Standardized interviews within 24 hours of admission.
  • Assessment of headache in relation to acute coronary syndrome and its characteristics.

Main Results:

  • Prevalence of cardiac cephalalgia was 14.2% (54/381) in patients with confirmed myocardial ischemia.
  • Common features include frontal location, pressing quality, and moderate intensity.
  • Pain referred to jaws, palpitations, and circumflex artery involvement were associated with cardiac cephalalgia; hypertension was inversely associated.

Conclusions:

  • Cardiac cephalalgia prevalence is 14.2%.
  • Findings provide valuable insights into cardiac cephalalgia characteristics.
  • Current diagnostic criteria for cardiac cephalalgia may require revision.
Abstract

Keywords:
Cardiac cephalalgiaheadachemyocardial infarctionmyocardial ischemiasecondary headache

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