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Journal of Clinical Neurology ; : 99-101, 2010.
Artigo em Inglês | WPRIM | ID: wpr-105414

RESUMO

BACKGROUND: Under certain conditions, exertional headaches may reflect coronary ischemia. CASE REPORT: A 44-year-old woman developed intermittent exercise-induced headaches with chest tightness over a period of 10 months. Cardiac catheterization followed by acetylcholine provocation demonstrated a right coronary artery spasm with chest tightness, headache, and ischemic effect of continuous electrocardiography changes. The patient's headache disappeared following intra-arterial nitroglycerine injection. CONCLUSIONS: A coronary angiogram with provocation study revealed variant angina and cardiac cephalalgia, as per the International Classification of Headache Disorders (code 10.6). We report herein a patient with cardiac cephalalgia that manifested as reversible coronary vasospasm following an acetylcholine provocation test.


Assuntos
Adulto , Feminino , Humanos , Acetilcolina , Angina Pectoris , Cateterismo Cardíaco , Cateteres Cardíacos , Vasoespasmo Coronário , Vasos Coronários , Eletrocardiografia , Cefaleia , Transtornos da Cefaleia , Isquemia , Nitroglicerina , Espasmo , Tórax
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