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Anginal headache and its basis

A Grace1, J Horgan, K Breathnach

  • 1Richmond Institute for Neurology and Neurosurgery, Beaumont Hospital, Dublin, Ireland.

Cephalalgia : an International Journal of Headache
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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This case study highlights angina presenting as headache, not chest pain. Effective treatments included coronary bypass surgery and angioplasty, suggesting novel therapeutic targets for cardiac pain.

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Angina pectoris typically presents as chest pain.
  • Cervicogenic headache can be a referred pain pattern.

Observation:

  • A patient experienced angina solely as vertex and occipital headache.
  • Symptoms were exercise-induced and rest-relieved, with electrocardiogram (EKG) changes.
  • Headache resolved after coronary artery bypass grafting and angioplasty.

Findings:

  • This presentation suggests a atypical manifestation of myocardial ischemia.
  • Neural convergence may explain the referred headache pain in this angina case.
  • Successful revascularization indicates the headache was cardiac in origin.

Implications:

Related Experiment Videos

  • Clinicians should consider cardiac ischemia in patients with unexplained headaches, especially if exercise-induced.
  • This case broadens the differential diagnosis for headache presentations.
  • Further research into atypical angina presentations is warranted.