Angina presenting as orofacial pain: A case report

Turner, Mark J.; McMillan, Kevin; Gibbons, Ann

doi:10.1016/j.oooo.2012.02.028

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Turner et al recommend that if the signs, symptoms, and investigations of facial pain do not provide a diagnosis, rare causes of facial pain should be considered, such as cardiac ischemia, before diagnosing it as atypical facial pain [ 9 ]. It seems plausible that craniofacial pain of cardiac origin is usually accompanied by other symptoms or by a suggestive history such as pain provoked by exercise.…”

Section: Discussionmentioning

confidence: 99%

Orofacial Pain with Cardiac Origin of Coronary Artery Disease: A Case Report and Literature Review

Choi

Lee

Park

2023

Case Reports in Dentistry

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When diagnosing orofacial pain, clinicians should also consider non-odontogenic origin and systemic diseases as possible etiological factors, along with odontogenic origin. This case report aimed to provide information for early detection of orofacial pain of cardiac origin by dentists, when pain due to coronary artery disease is the only presenting symptom. A 60-year-old male patient with unexplained isolated bilateral jaw pain that had persisted for the past 5 years was referred to a dentist by an anesthesiologist who suspected temporomandibular joint disorder. In oral examination, no specific pathological changes were observed in the oral cavity, including teeth, surrounding alveolar bone, and buccal mucosa. Magnetic resonance imaging and conventional radiography showed no pathological destruction or abnormalities of bone and soft tissue in the temporomandibular joint region. However, pain was precipitated by ordinary daily activities, and the pain alleviating factor was rest. Eventually, the patient was referred to a cardiologist for further evaluation since his pain was induced by physical activity. Coronary artery disease (CAD) was diagnosed using coronary computed tomography angiography, and the pain was considered to be angina pectoris. Percutaneous coronary intervention was successfully done for the patient, after which his orofacial symptoms disappeared. To conclude, isolated craniofacial pain of cardiac origin may lead to patients seeking dental care or visiting orofacial pain clinics. In these settings, dentists and orofacial pain specialists may contribute to the diagnosis of CAD and refer patients for cardiac evaluation and appropriate management.

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Section: Discussionmentioning

confidence: 99%

Orofacial Pain with Cardiac Origin of Coronary Artery Disease: A Case Report and Literature Review

Choi

Lee

Park

2023

Case Reports in Dentistry

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“…Dyspnea and fatigue may also be associated with this condition [6]. Some reports have stated that the pain may be isolated or spread to the orofacial region, especially the jaws and teeth (Table 1) [7][8][9][10][11][12][13][14][15][16]. Throat, followed by left mandible, right mandible, left temporomandibular joint (TMJ)/ear region, and teeth are the most commonly reported locations of orofacial pain radiating from heart diseases [16,17].…”

Section: Introductionmentioning

confidence: 99%

Detection of orofacial pain of cardiac origin due to coronary artery disease: A case report and literature review

Choi

Lee

2023

Preprint

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Background. When diagnosing orofacial pain, clinicians should also consider non-odontogenic origin and systemic diseases as possible etiological factors, along with odontogenic origin. This case report aimed to provide information for early detection of orofacial pain of cardiac origin by dentists, when pain due to coronary artery disease is the only presenting symptom. Case Presentation. A 60-year-old male patient with unexplained isolated bilateral jaw pain was referred to a dentist by an anesthesiologist whosuspected temporomandibular joint disorder. Oral examination and radiography of the temporomandibular joints revealed no bony abnormalities. Eventually, the patient was referred to a cardiologist for further evaluation since his pain was induced by physical activity. Coronary artery disease (CAD) was diagnosed using coronary computed tomographyangiography, and the pain was considered to be angina pectoris. Percutaneous coronary intervention was successfully done for the patient, after which his orofacial symptoms disappeared. Conclusions. Isolated craniofacial pain of cardiac origin may lead to patients seeking dental care or visiting orofacial pain clinics. In these settings, dentists and orofacial pain specialists may contribute to the diagnosis of CAD and refer patients for cardiac evaluation and appropriate management.

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“…The typical manifestation of myocardial ischemia is precordial chest pain that is induced by exertion and relieved by rest or nitroglycerin. Case reports of atypical angina have described the involvement of uncommon body locations, such as angina pectoris or acute myocardial infarction with headache, 1 craniofacial pain, 2 orofacial pain, 3 neck pain, 1 pharyngeal pain, 1 belching, 4 low back pain, 5 hip pain, axillary pain, or paroxysmal hypertension as the main manifestations. There are no clear data on the incidence of low back pain during angina attacks, but several case reports have described myocardial infarction accompanied by low back pain as the main complaint.…”

Section: Introductionmentioning

confidence: 99%

Attack of angina pectoris with low back pain alone: a case report

Duan

et al. 2023

J Int Med Res

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A man in his late 60s with a history of angina pectoris developed low back pain during cardiac catheterization. During this episode of back pain, ST segment elevations were noted on the electrocardiogram. The patient reported relief of the pain immediately after implantation of two drug-eluting stents, and the ST segments on the electrocardiogram normalized. The probable mechanisms of low back pain during cardiac catheterization in this patient are briefly outlined.

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Angina presenting as orofacial pain: A case report

Cited by 5 publications

References 7 publications

Orofacial Pain with Cardiac Origin of Coronary Artery Disease: A Case Report and Literature Review

Orofacial Pain with Cardiac Origin of Coronary Artery Disease: A Case Report and Literature Review

Detection of orofacial pain of cardiac origin due to coronary artery disease: A case report and literature review

Attack of angina pectoris with low back pain alone: a case report

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