Key result
Primary percutaneous coronary intervention successfully treated an acute myocardial infarction, resulting in immediate and complete relief of the patient's sole presenting symptom of severe headache.
Case Report (n=1)
No
Headache can be an extremely rare, sole presenting symptom of acute myocardial infarction, which may resolve immediately upon successful coronary revascularization.
Isolated severe headache may signal AMI; this Level 5 case leaves open whether PCI relief generalizes beyond rare presentations.
We report a very rare case of a patient who presented with headache as the sole symptom of an acute myocardial infarction (AMI). The patient underwent primary percutaneous coronary angioplasty followed by drug-eluting stent implantation and the headache was immediately relieved. The pathophysiologic explanation of the occurrence of headache as a sole manifestation of an AMI is discussed.
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Chatzizisis et al. (2010) conducted a case report in Acute myocardial infarction (n=1). Primary percutaneous coronary intervention (PCI) with zotarolimus-eluting stent was evaluated on Relief of headache and treatment of myocardial infarction. Primary percutaneous coronary intervention successfully treated an acute myocardial infarction, resulting in immediate and complete relief of the patient's sole presenting symptom of severe headache.
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