Abstract
Cardiac cephalalgia has a small incidence, but unrecognized it can prolong the time to diagnose a life-threatening condition such as acute coronary event. According to its clinical presentation, it can refer to a migraine. Even in the absence of clinically and laboratory evident signs, the diagnosis of cardiac migraine should be kept in mind because sometimes it is the only symptom of a threatening coronary event. The choice of treatment depends on a correctly established diagnosis. A reckless inclusion of vasoconstrictors as a standard therapeutic modality of migraine in a patient with a cardiac cephalalgia could worsen ischemia and endanger the patient's life. By solving an acute coronary event conservatively, with percutaneous coronary interventions or coronary "bypass," cardiac cephalalgia is eliminated as well.
Funder
Ministry of Education, Science and Technological Development of the Republic of Serbia
Publisher
Centre for Evaluation in Education and Science (CEON/CEES)
Reference28 articles.
1. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018 Nov 10;392(10159):1789-1858;
2. Lipton RB, Lowenkopf T, Bajwa ZH, et al. Cardiac cephalgia: a treatable form of exertional headache. Neurology.1997;49:813-6;
3. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. PMID: 29368949;
4. Caponnetto V, Deodato M, Robotti M, et al. European Headache Federation School of Advanced Studies (EHF-SAS). Comorbidities of primary headache disorders: a literature review with meta-analysis. J Headache Pain. 2021 Jul 14;22(1):71. doi: 10.1186/s10194-021-01281-z. PMID: 34261435; PMCID: PMC8278743;
5. Culić V, Mirić D, Eterović D. Correlation between symptomatology and site of acute myocardial infarction. Int J Cardiol. 2001 Feb;77(2-3):163-8. doi: 10.1016/s0167-5273(00)00414-9. PMID: 11182180;