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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...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Korean Neurological Association
2010
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Materias: | |
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 |
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author | Yang, YoungSoon Jeong, Dushin Jin, Dong Gyu Jang, Il Mi Jang, YoungHee Na, Hae Ri Kim, SanYun |
author_facet | Yang, YoungSoon Jeong, Dushin Jin, Dong Gyu Jang, Il Mi Jang, YoungHee Na, Hae Ri Kim, SanYun |
author_sort | Yang, YoungSoon |
collection | PubMed |
description | 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. |
format | Text |
id | pubmed-2895230 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Korean Neurological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-28952302010-07-06 A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram Yang, YoungSoon Jeong, Dushin Jin, Dong Gyu Jang, Il Mi Jang, YoungHee Na, Hae Ri Kim, SanYun J Clin Neurol Case Report 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. Korean Neurological Association 2010-06 2010-06-30 /pmc/articles/PMC2895230/ /pubmed/20607049 http://dx.doi.org/10.3988/jcn.2010.6.2.99 Text en Copyright © 2010 Korean Neurological Association |
spellingShingle | Case Report Yang, YoungSoon Jeong, Dushin Jin, Dong Gyu Jang, Il Mi Jang, YoungHee Na, Hae Ri Kim, SanYun A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram |
title | A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram |
title_full | A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram |
title_fullStr | A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram |
title_full_unstemmed | A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram |
title_short | A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram |
title_sort | case of cardiac cephalalgia showing reversible coronary vasospasm on coronary angiogram |
topic | Case Report |
url | 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 |
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