Key result
Isolated headache can be the sole presenting symptom of acute coronary syndrome, as seen in a post-CABG patient with complete occlusion of the right coronary artery.
Why the study?
Acute coronary syndrome sometimes presents with atypical symptoms, and very rarely with headache as the only symptom.
Highlights that acute coronary syndrome can rarely present with isolated headache, emphasizing the need for clinical suspicion in patients with atypical symptoms.
Isolated headache may rarely signal acute coronary occlusion; case report leaves open whether atypical symptom screening warrants prospective study.
Retrosternal chest pain is the classical symptom of acute coronary syndrome (ACS). ACS sometimes presents with atypical symptoms and very rarely as headache as the only symptom. We present here a case where a patient who had undergone coronary artery bypass grafting presented with headache and on evaluation found to have complete occlusion of right coronary artery.
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Yatin Mehta (2022) studied this question. Isolated headache can be the sole presenting symptom of acute coronary syndrome, as seen in a post-CABG patient with complete occlusion of the right coronary artery.
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