心源性心绞痛:头部的心绞痛

Mahbubur Rahman, Aminur Razzaque, Iftikher Alam, A. Iqbal, Golam Rahman Mallick, S. Munshi, Wareshuzzaman, Akif Hasan
{"title":"心源性心绞痛:头部的心绞痛","authors":"Mahbubur Rahman, Aminur Razzaque, Iftikher Alam, A. Iqbal, Golam Rahman Mallick, S. Munshi, Wareshuzzaman, Akif Hasan","doi":"10.3329/BMJ.V48I3.51798","DOIUrl":null,"url":null,"abstract":"Cardiac cephalgia is a migraine like headache that occurs during episodes of myocardial ischaemia. Although most of the patients presenting with ischaemic heart disease have chest pain, there are other rare presenting symptoms like cardiac cephalgia. Headache can be the only presentation of coronary artery disease. We report a case of a 57 years-old man, Presenting with only headache during brisk walking, Exercise Tolerance Test (ETT) was positive for Electrocardiograph (ECG) evidence of provocable myocardial ischemia, who latter was diagnosed as double vessel coronary artery diseaseon Coronary Angiogram (CAG). As the patient preferred remaining without revascularization, he was put onto optimum medical management for ischaemic heart disease. A follow up visit after one month revealed, marked improvement of the headache with anti anginal medications. Early evaluation and diagnosis of the headache symptom should be done because treatment with anti-migraine drugs may deteriorate headache and undermine the diagnosis of coronary artery disease. \nBangladesh Med J. 2019 Sep; 48 (3): 46-49","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"24 1","pages":"46-49"},"PeriodicalIF":0.0000,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cardiac Cephalgia: Angina in the Head\",\"authors\":\"Mahbubur Rahman, Aminur Razzaque, Iftikher Alam, A. Iqbal, Golam Rahman Mallick, S. Munshi, Wareshuzzaman, Akif Hasan\",\"doi\":\"10.3329/BMJ.V48I3.51798\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Cardiac cephalgia is a migraine like headache that occurs during episodes of myocardial ischaemia. Although most of the patients presenting with ischaemic heart disease have chest pain, there are other rare presenting symptoms like cardiac cephalgia. Headache can be the only presentation of coronary artery disease. We report a case of a 57 years-old man, Presenting with only headache during brisk walking, Exercise Tolerance Test (ETT) was positive for Electrocardiograph (ECG) evidence of provocable myocardial ischemia, who latter was diagnosed as double vessel coronary artery diseaseon Coronary Angiogram (CAG). As the patient preferred remaining without revascularization, he was put onto optimum medical management for ischaemic heart disease. A follow up visit after one month revealed, marked improvement of the headache with anti anginal medications. Early evaluation and diagnosis of the headache symptom should be done because treatment with anti-migraine drugs may deteriorate headache and undermine the diagnosis of coronary artery disease. \\nBangladesh Med J. 2019 Sep; 48 (3): 46-49\",\"PeriodicalId\":8711,\"journal\":{\"name\":\"Bangladesh Medical Journal\",\"volume\":\"24 1\",\"pages\":\"46-49\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-02-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bangladesh Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3329/BMJ.V48I3.51798\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bangladesh Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/BMJ.V48I3.51798","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

心源性头痛是在心肌缺血发作时发生的一种类似偏头痛的头痛。虽然大多数缺血性心脏病患者都有胸痛,但也有其他罕见的症状,如心源性头痛。头痛可能是冠状动脉疾病的唯一表现。我们报告一例57岁男性患者,仅在快走时表现为头痛,运动耐量试验(ETT)为诱发性心肌缺血的心电图(ECG)证据阳性,后者被冠状动脉造影(CAG)诊断为双支冠状动脉疾病。由于患者倾向于不进行血运重建,因此他被纳入了缺血性心脏病的最佳医疗管理。一个月后的随访显示,服用抗心绞痛药物后头痛有明显改善。应该对头痛症状进行早期评估和诊断,因为抗偏头痛药物治疗可能会使头痛恶化并破坏冠状动脉疾病的诊断。孟加拉国医学杂志2019年9月;48 (3): 46-49
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiac Cephalgia: Angina in the Head
Cardiac cephalgia is a migraine like headache that occurs during episodes of myocardial ischaemia. Although most of the patients presenting with ischaemic heart disease have chest pain, there are other rare presenting symptoms like cardiac cephalgia. Headache can be the only presentation of coronary artery disease. We report a case of a 57 years-old man, Presenting with only headache during brisk walking, Exercise Tolerance Test (ETT) was positive for Electrocardiograph (ECG) evidence of provocable myocardial ischemia, who latter was diagnosed as double vessel coronary artery diseaseon Coronary Angiogram (CAG). As the patient preferred remaining without revascularization, he was put onto optimum medical management for ischaemic heart disease. A follow up visit after one month revealed, marked improvement of the headache with anti anginal medications. Early evaluation and diagnosis of the headache symptom should be done because treatment with anti-migraine drugs may deteriorate headache and undermine the diagnosis of coronary artery disease. Bangladesh Med J. 2019 Sep; 48 (3): 46-49
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信