Headache angina with fatal outcome.

Headache as a Presenting Symptom of Acute Myocardial Infarction

“…Headache has been described as the primary and most salient symptom of myocardial infarction or ischemia in 19 patients, including our patient 3‐14 . In those cases head pain was usually severe and increasing in severity and began at rest or after strenuous physical exercise and also with sexual activity.…”

“…The differential with more common forms of headache is difficult, because the association with electrocardiographic changes indicative of myocardial ischemia is the key specific feature that corroborates the diagnosis of anginal headache 3‐14 . Relief by rest when headache is induced by physical exertion and sensibility to nitrates may raise the suspicion of anginal headache in the appropriate setting because nitrates, conversely, can induce headache in both normal subjects and migraine sufferers.…”

Headache as a Presentation of Angina: Reproduction of Symptoms During Angioplasty

“…A few cases of angina presenting with headache as the primary symptom have been reported. 1,5,6,7,8 These headaches have varied characteristics. As in our case, bitemporal headaches have been reported.…”

Cardiac Headache: Hemicranial Cephalalgia as the Sole Manifestation of Coronary Ischemia

“…Thus far 16 cases of cardiac headache have been reported in the literature (Table 1) 1‐9,11,13 . Males were predominantly affected; the mean age was 61.7 years, and there was no typical pattern of head pain.…”

“…The clinical presentation of angina pectoris typically involves oppressive chest pain that may be referred to the left arm and neck 1 . Headache during effort as the sole clinical manifestation of myocardial ischemia has been infrequently reported in the literature 1‐8 . When present it is associated with the typical symptoms of angina 1 .…”