Key result
Percutaneous coronary intervention with stenting of the right coronary artery successfully resolved severe, non-exertional headaches in a patient with cardiac cephalalgia at 2-year follow-up.
Why the study?
Does percutaneous coronary intervention resolve cardiac cephalalgia in a patient with severe right coronary artery stenosis?
Case Report (n=1)
Does percutaneous coronary intervention resolve cardiac cephalalgia in a patient with severe right coronary artery stenosis?
Cardiac cephalalgia is a rare but important presentation of myocardial ischemia that can be successfully resolved with coronary revascularization.
Case report suggests PCI may resolve cardiac cephalalgia; leaves open need for controlled trials before broader adoption.
Cardiac cephalalgia is a migraine-like headache that occurs during episodes of myocardial ischaemia. Clinical characteristics of the headache vary widely but are often severe in intensity, worsen with reduced myocardial perfusion and resolve with reperfusion. It can present along with typical symptoms of angina pectoris, although not always. We present a 64-year-old man with a 6-month history of severe, non-exertional headaches occurring with increasing frequency. A resting ECG showed ST elevation in the inferior leads. His serum troponin I was not elevated. Coronary angiography showed severe stenosis of his right coronary artery, which was successfully stented by percutaneous coronary intervention. He remains headache free at 2-year follow-up.
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Lazari et al. (2018) conducted a case report in Cardiac cephalalgia (n=1). Percutaneous coronary intervention was evaluated on Headache resolution. Percutaneous coronary intervention with stenting of the right coronary artery successfully resolved severe, non-exertional headaches in a patient with cardiac cephalalgia at 2-year follow-up.
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