A Case of Cardiac Cephalalgia Showing Reversible Coronary Vasospasm on Coronary Angiogram
Journal of Clinical Neurology
;
: 99-101, 2010.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Espasmo
/
Tórax
/
Cateterismo Cardíaco
/
Acetilcolina
/
Nitroglicerina
/
Vasoespasmo Coronário
/
Vasos Coronários
/
Transtornos da Cefaleia
/
Eletrocardiografia
/
Cateteres Cardíacos
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Clinical Neurology
Ano de publicação:
2010
Tipo de documento:
Artigo
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