A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram
Journal of Clinical Neurology
;
: 99-101, 2010.
Article
in English
| WPRIM
| ID: wpr-105414
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spasm
/
Thorax
/
Cardiac Catheterization
/
Acetylcholine
/
Nitroglycerin
/
Coronary Vasospasm
/
Coronary Vessels
/
Headache Disorders
/
Electrocardiography
/
Cardiac Catheters
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Journal of Clinical Neurology
Year:
2010
Type:
Article
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