Headache as the Sole Presentation of Acute Myocardial Infarction in Two Elderly Patients

Amendo, Manuel T.; Brown, Barbara A.; Kossow, Lynne B.; Weinberg, Frederick

doi:10.1111/j.1076-7460.2001.00842.x

Cited by 22 publications

(23 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Twenty-one patients [1, 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19]were found in this review. Findings in 22 patients (including ours) including headache features, associated myocardial ischemia, and the presence or absence of each criterion of the ICHD-II criteria for cardiac cephalalgia are summarized in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Five patients had accompanying nausea and/or vomiting, 2 reported photophobia and phonophobia, and 5 had pulsating headaches. Ten (48%) had other headaches not related to exertion [2, 3, 4, 5, 6, 11, 12, 13]. …”

Section: Resultsmentioning

confidence: 99%

“…Eight patients had an acute myocardial infarction during the course of their headaches; 5 (63%) of these patients had both headache without concomitant chest pain and also headache not associated with exertion. The headaches resolved either permanently or temporarily with medical [5, 6, 8, 12, 14, 15, 17, 18], endovascular [1, 8, 10, 13, 17], or surgical [2, 3, 9, 14, 17]treatment if the cardiac ischemic events were not immediately life-threatening [12, 19]. Three patients died of ventricular fibrillation or acute myocardial infarction.…”

Section: Resultsmentioning

confidence: 99%

“…In their report, this kind of headache was exclusively exertional. However, in subsequent reports, not all patients with cardiac cephalgia presented with exertional headache [2, 3, 4, 5, 6]. Correct diagnosis of cardiac cephalgia is important since it indicates an unusual expression of myocardial ischemia.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cardiac Cephalalgia

Chen

Fuh

et al. 2004

Eur Neurol

View full text Add to dashboard Cite

We report a patient with cardiac cephalalgia and review reported cases from the English-language literature based on the new diagnostic criteria published in the International Classification of Headache Disorders, ed 2. Twenty-two patients, including ours, with headaches of cardiac origin were reviewed. The cases fit three of the four new criteria well: Criteria B (acute myocardial ischemia has occurred, 100%), C (headache developed concomitantly with acute myocardial ischemia, 100%), and D (headache resolved and does not recur after effective medical or surgical treatment for myocardial ischemia, 83%). The cases in which we had exceptions were to the proposed headache features (criterion A), which were generally not fulfilled, with nausea as the least frequent finding (27%); this criterion might not be mandatory for diagnosis.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cardiac Cephalalgia

Chen

Fuh

et al. 2004

Eur Neurol

View full text Add to dashboard Cite

show abstract

“…[4,5] Additional rare cases of patients presenting with headache as the sole symptom during myocardial infarction have been described primarily in elderly male patients, sometimes with initially normal EKG's. [6][7][8][9][10] The pathophysiology behind headache symptomatology during acute myocardial infarction (MI) has yet to be clearly reported. Some proposed mechanisms include the crossing of cardiac sympathetic fibers with cranial pain afferent fibers from C1-C3, which could cause referral pain to the head during a myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Cardiac headache in acute coronary syndrome

Tran

Ziffra

Nguyen³

et al. 2017

CRIM

View full text Add to dashboard Cite

Acute coronary syndrome may present in a wide distribution of symptoms. The classic presentation includes substernal chest pain, neck pain, dyspnea or syncope. In patients with coronary risk factors who present with headaches, acute coronary syndrome is rare, but has been previously reported. We describe a case of 63-year-old female who presented with a severe headache and developed a Non ST-Elevation Myocardial Infarction.

show abstract

Kopf- und Gesichtsschmerz im Alter

Göbel

Heinze

2007

Schmerz

View full text Add to dashboard Cite

Whilst headache disorders belong to the most common health problems of the younger population, the occurrence diminishes with advancing age. However, in individual cases headaches may be especially severe in old age significantly reducing the quality of life. Typical causes of headache in the elderly are giant cell arteritis (arteritis temporalis), cranial neuralgia and hypnic headache. The incidence of intracranial mass lesions also increases with age. In addition to these secondary forms of headache, the typical primary headache disorders migraine, tension headache and cluster headache may also persist in the elderly. In drug treatment of headaches in the elderly, an impairment of renal and/or hepatic function has to be taken in account, as should be the potential multimorbidity of elderly patients.

show abstract

Headache as the Sole Presentation of Acute Myocardial Infarction in Two Elderly Patients

Cited by 22 publications

References 5 publications

Cardiac Cephalalgia

Cardiac Cephalalgia

Cardiac headache in acute coronary syndrome

Kopf- und Gesichtsschmerz im Alter

Contact Info

Product

Resources

About