Cardiac cephalalgia:a case report
10.3969/j.issn.1004-8812.2024.07.008
- VernacularTitle:心源性头痛1例
- Author:
Shuang SUN
1
;
Shu FANG
;
Cheng-Fu CAO
;
Ming-Yu LU
;
Jun-Xian SONG
Author Information
1. 北京大学人民医院心血管内科 心血管转化医学研究中心 急性心肌梗死早期预警和干预北京市重点实验室,北京 100044
- Keywords:
Cardiac cephalalgia;
Myocardial ischemia;
Myocardial infarction;
Interventional therapy
- From:
Chinese Journal of Interventional Cardiology
2024;32(7):413-417
- CountryChina
- Language:Chinese
-
Abstract:
Cardiac cephalalgia is a rare disease caused by underlying coronary artery disease that presents as headache with or without chest symptoms.Headache symptoms are often caused by referred pain,increased intracranial pressure and release of large amounts of pain-causing neurochemicals due to myocardial ischemia,and cortical hypoperfusion.Due to the low overall prevalence of the disease,the lack of chest pain typical of coronary heart disease,and the fact that it may be difficult to distinguish from headaches caused by neurological diseases,accurate diagnosis and treatment of the disease are often delayed.We report a case of acute coronary syndrome with headache only.Revascularization was achieved through percutaneous coronary intervention therapy,followed by standard secondary prevention pharmacotherapy.Follow-up six months postoperatively showed a significant improvement in exercise tolerance,with no further headache episodes.The purpose is to improve the understanding of patients with cardiac cephalalgia,with a view to early identification and timely intervention,and ultimately improve the symptoms and prognosis.
