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Evaluation of the ICHD-3 diagnostic criteria for cardiac cephalalgia and new proposal

María Pilar Navarro-Pérez1,2, Sonia Santos-Lasaosa2,3, Jes Olesen4

  • 1Neurology Department, Hospital Obispo Polanco, Teruel, Spain.

Cephalalgia : an International Journal of Headache
|November 2, 2023
PubMed

Insights

This study evaluated the International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria for cardiac cephalalgia. Findings suggest revising the ICHD-3 criteria for improved accuracy in diagnosing this headache disorder.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Current diagnostic criteria for cardiac cephalalgia are based on expert opinion and case reports.
  • The International Classification of Headache Disorders, 3rd edition (ICHD-3) provides the existing framework.

Purpose of the Study:

  • To assess the validity and applicability of the ICHD-3 diagnostic criteria for cardiac cephalalgia.
  • To propose revisions to the ICHD-3 criteria for cardiac cephalalgia based on empirical data.

Main Methods:

  • A case series study involving 54 patients diagnosed with cardiac cephalalgia.
  • Evaluation of patient adherence to ICHD-3 criteria for cardiac cephalalgia and migraine without aura.

Main Results:

  • All patients met ICHD-3 criteria A, B, C1, C2, and D for cardiac cephalalgia; 81.5% met criterion C3.
  • Criterion C3b (nausea) was met by only 18.5% of patients.
  • Low adherence (11.1% to 46.3%) to ICHD-3 criteria B, C, and D for migraine without aura was observed.

Conclusions:

  • The current ICHD-3 criteria for cardiac cephalalgia require revision.
  • Recommendations include removing criteria C3 and C4 and the term "migraine-like" from the description.
Abstract

Keywords:
Cardiac cephalalgiaICHD-3headachemyocardial infarctionsecondary headache

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