Severe explosive headache: a sole presentation of acute myocardial infarction in a young man

Seow, Vei-Ken; Chong, Chee-Fah; Wang, Tzong-Luen; Ong, Jiann-Ruey

doi:10.1016/j.ajem.2006.11.014

Cited by 20 publications

(9 citation statements)

References 6 publications

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“…III, aVF NA Not performed Morlote, 2002 [ 37 ] M/59 Hyperlipidemia, Hypertension Chest discomfort, diaphoresis. NA ST depression NA NA Source Sex/Age Risk Factors Symptoms of Cardiac ischemia Cardiac Enzyme ECG Stress Test DSA Sathirapanya, 2004 [ 38 ] M/58 Smoking Chest tightness NA ST elevation in V1-3 NA LM 50% stenosis, LAD occlusion, 1st OM 70% stenosis, RCX occlusion Chen, 2004 [ 39 ] M/76 Hypertension Chest pain NA T inversion in I, aVL ST depression in II, III, aVF LAD 90% stenosis, RCA 50% stenosis Korantzopoulos, 2005 [ 40 ] F/73 Hyperlipidemia, Hypertension, Obesity None Elevate ST depression in V2-V5 NA LAD 70% stenosis Cutrer, 2006 [ 5 ] M/53 Hyperlipidemia, Hypertension, Smoking, Obesity None NA NA Negative RCA occlusion, LAD 60% stenosis Morlote, 2006 [ 41 ] F/74 Diabetes, Obesity Chest tightness Evaluate ST depression in V1-V4 NA Not performed F/64 Hyperlipidemia, Hypertension, Diabetes None Not performed Not performed Not performed Not performed Seow, 2007 [ 42 ] M/35 Smoking None Evaluate ST evaluate in V2 to V4 ...…”

Section: Resultsmentioning

confidence: 99%

Cardiac cephalalgia: one case with cortical hypoperfusion in headaches and literature review

Wang

Liu

et al. 2017

J Headache Pain

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BackgroundCardiac cephalalgia (CC) is a rare disease occurring during an episode of myocardial ischemia and relieved by nitroglycerine. Though more than 30 cases of CC have been reported since 1997, the mechanism is yet obscure. Herein, a case of CC is presented and discussed in relevance with previous literature to propose a novel hypothesis about the mechanism of CC.MethodA CC patient with cortical hypoperfusion during headache attacks was presented, which has never been reported. All published cases of CC via PubMed (http://www.ncbi.nlm.nih.gov/pubmed) in English literature, between 1997 and 2016, were reviewed.ResultsA patient suffering from CC presented a cerebral hypoperfusion during a headache attack. This phenomenon had not been observed since CC was introduced in 1997. The literature review summarized the clinical presentations, neuroimaging features, ECG, and coronary angiography features of 35 CC patients.ConclusionBased on the phenomenon of hypoperfusion in the event of a headache, the vessel constriction hypothesis was proposed including two potential physiological mechanisms underlying the pathophysiology of CC.

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Section: Resultsmentioning

confidence: 99%

Cardiac cephalalgia: one case with cortical hypoperfusion in headaches and literature review

Wang

Liu

et al. 2017

J Headache Pain

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“…By their nature, case reports will focus on the esoteric or unusual, but our review has highlighted some important associations including systemic conditions like Aortic Dissection [ 233 , 234 , 279 , 280 ], Cardiac Cephalalgia [ 26 , 227 - 229 , 231 , 232 , 281 - 283 ], Phaeochromocytoma [ 236 , 237 ], serious infections like Dengue Haemorrhagic Fever [ 74 ] and Q-Fever [ 72 ], as well as Erve Virus [ 68 , 71 ]. Rare vasculopathies such as Vogt-Kayanagi-Harada Disease [ 121 , 122 ], or cerebral vasculitis [ 119 ] do appear on the differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of causes of sudden and severe headache (Thunderclap Headache): should lists be evidence based?

2014

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BackgroundThere are many potential causes of sudden and severe headache (thunderclap headache), the most important of which is aneurysmal subarachnoid haemorrhage. Published academic reviews report a wide range of causes. We sought to create a definitive list of causes, other than aneurysmal subarachnoid haemorrhage, using a systematic review.MethodsSystematic Review of EMBASE and MEDLINE databases using pre-defined search criteria up to September 2009. We extracted data from any original research paper or case report describing a case of someone presenting with a sudden and severe headache, and summarized the published causes.ResultsOur search identified over 21,000 titles, of which 1224 articles were scrutinized in full. 213 articles described 2345 people with sudden and severe headache, and we identified 6 English language academic review articles. A total of 119 causes were identified, of which 46 (38%) were not mentioned in published academic review articles. Using capture-recapture analysis, we estimate that our search was 98% complete. There is only one population-based estimate of the incidence of sudden and severe headache at 43 cases per 100,000. In cohort studies, the most common causes identified were primary headaches or headaches of uncertain cause. Vasoconstriction syndromes are commonly mentioned in case reports or case series. The most common cause not mentioned in academic reviews was pneumocephalus. 70 non-English language articles were identified but these did not contain additional causes.ConclusionsThere are over 100 different published causes of sudden and severe headache, other than aneurysmal subarachnoid haemorrhage. We have now made a definitive list of causes for future reference which we intend to maintain. There is a need for an up to date population based description of cause of sudden and severe headache as the modern epidemiology of thunderclap headache may require updating in the light of research on cerebral vasoconstriction syndromes.

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“…We searched the medical literature for cardiac headaches from 1978 to 2007 (5–39) (Table 1). The keywords of ‘anginal headache, cardiac cephalalgia, myocardial infarction, or cardiac headache’ were used in English language literature.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Cephalalgia: Case Reports and Review

2008

Cephalalgia

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Diagnosis of myocardial infarction or acute coronary syndrome is difficult, especially in atypical presentation at an emergency department, and sometimes results in serious legal issues. Symptoms of atypical presentation include shortness of breath, dyspnoea on exertion, toothache, abdominal pain, back pain and throat pain. As of now, reports of a headache, especially exertional headache, as the only presentation of acute cardiac ischaemia are rare and only have case reports. We present two patients with a cardiac source of headache and analyse 32 patients with similar situations from MEDLINE search from 1966 to the present. Cardiac cephalalgia is benign in general, but potential risks for death should be considered. If the patient has increased risk of atherosclerosis with exertional headache, anginal headache should be highly suspected and further work-up should be undertaken.

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Severe explosive headache: a sole presentation of acute myocardial infarction in a young man

Cited by 20 publications

References 6 publications

Cardiac cephalalgia: one case with cortical hypoperfusion in headaches and literature review

Cardiac cephalalgia: one case with cortical hypoperfusion in headaches and literature review

A systematic review of causes of sudden and severe headache (Thunderclap Headache): should lists be evidence based?

Cardiac Cephalalgia: Case Reports and Review

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