A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram

BACKGROUND: Under certain conditions, exertional headaches may reflect coronary ischemia. CASE REPORT: A 44-year-old woman developed intermittent exercise-induced headaches with chest tightness over a period of 10 months. Cardiac catheterization followed by acetylcholine provocation demonstrated a r...

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Detalles Bibliográficos
Autores principales: Yang, YoungSoon, Jeong, Dushin, Jin, Dong Gyu, Jang, Il Mi, Jang, YoungHee, Na, Hae Ri, Kim, SanYun
Formato: Texto
Lenguaje:English
Publicado: Korean Neurological Association 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2895230/
https://www.ncbi.nlm.nih.gov/pubmed/20607049
http://dx.doi.org/10.3988/jcn.2010.6.2.99
Descripción
Sumario:BACKGROUND: Under certain conditions, exertional headaches may reflect coronary ischemia. CASE REPORT: A 44-year-old woman developed intermittent exercise-induced headaches with chest tightness over a period of 10 months. Cardiac catheterization followed by acetylcholine provocation demonstrated a right coronary artery spasm with chest tightness, headache, and ischemic effect of continuous electrocardiography changes. The patient's headache disappeared following intra-arterial nitroglycerine injection. CONCLUSIONS: A coronary angiogram with provocation study revealed variant angina and cardiac cephalalgia, as per the International Classification of Headache Disorders (code 10.6). We report herein a patient with cardiac cephalalgia that manifested as reversible coronary vasospasm following an acetylcholine provocation test.

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