Headache: A Symptom of Acute Myocardial Infarction

CASE REPORT, May 2013, VOL II ISSUE III, ISSN 2042-4884
10.5083/ejcm.20424884.92 , Cite or Link Using DOI
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Yasmine Elgharably MD, Cesar Iliescu MD, Stefano Sdringola MD, Syed Wamique Yusuf MBBS

ABSTRACT:
We present a case of 55 year old man, with myocardial infarction and coronary thrombosis, whose initial presentation was with severe headache and review the literature.


INTRODUCTION:
Coronary ischemia typically presents with retrosternal pain that radiates to left arm (1). It may present atypically in various forms like indigestion (2), otalgia (3), facial pain (4) and syncope (5). Headacheas the sole presentation of myocardial infarction (MI) is rare; however it has been reported previously. In a study of 150 patients with angina, about 6% were found to have concomitant headache (6). In this article, we present a patient with myocardial infarction, whose main presentation was with headache and review other cases published in the literature.