Abstract
Myocardial ischemia usually results in typical anginal chest pain, but cardiac pain can occasionally only be referred to regions outside the thorax. Headache, however, is a very unusual expression of myocardial ischemia. Thus, the correct diagnosis of «cardiac headache» is difficult and requires a high dose of suspicion, but it can be crucial to avoid possible life-threatening events. The type and site of headache are not specific, but an episodic occurrence. A short duration and a relationship with exercise or emotional triggers should alert physicians on the possible cardiac origin of headache. Paradoxical relief and prevention of headache by sublingual nitrates are a strong clue to the diagnosis.
| Original language | Italian |
|---|---|
| Pages (from-to) | 467-470 |
| Number of pages | 4 |
| Journal | Recenti Progressi in Medicina |
| Volume | 92 |
| Issue number | 7-8 |
| Publication status | Published - Jul 2001 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Cefalea e malattia arteriosa coronarica. / Lanza, Gaetano Antonio; Sestito, Alfonso.
In: Recenti Progressi in Medicina, Vol. 92, No. 7-8, 07.2001, p. 467-470.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cefalea e malattia arteriosa coronarica
AU - Lanza, Gaetano Antonio
AU - Sestito, Alfonso
PY - 2001/7
Y1 - 2001/7
N2 - Myocardial ischemia usually results in typical anginal chest pain, but cardiac pain can occasionally only be referred to regions outside the thorax. Headache, however, is a very unusual expression of myocardial ischemia. Thus, the correct diagnosis of «cardiac headache» is difficult and requires a high dose of suspicion, but it can be crucial to avoid possible life-threatening events. The type and site of headache are not specific, but an episodic occurrence. A short duration and a relationship with exercise or emotional triggers should alert physicians on the possible cardiac origin of headache. Paradoxical relief and prevention of headache by sublingual nitrates are a strong clue to the diagnosis.
AB - Myocardial ischemia usually results in typical anginal chest pain, but cardiac pain can occasionally only be referred to regions outside the thorax. Headache, however, is a very unusual expression of myocardial ischemia. Thus, the correct diagnosis of «cardiac headache» is difficult and requires a high dose of suspicion, but it can be crucial to avoid possible life-threatening events. The type and site of headache are not specific, but an episodic occurrence. A short duration and a relationship with exercise or emotional triggers should alert physicians on the possible cardiac origin of headache. Paradoxical relief and prevention of headache by sublingual nitrates are a strong clue to the diagnosis.
KW - Anginal chest pain
KW - Cardiac headache
KW - Myocardial ischemia
UR - http://www.scopus.com/inward/record.url?scp=0035403777&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035403777&partnerID=8YFLogxK
M3 - Articolo
C2 - 11475791
AN - SCOPUS:0035403777
VL - 92
SP - 467
EP - 470
JO - Recenti Progressi in Medicina
JF - Recenti Progressi in Medicina
SN - 0034-1193
IS - 7-8
ER -