Key result
A 44-year-old male with cardiac cephalgia presented with exertional headache as the primary symptom of coronary artery disease, which resolved completely following successful coronary stenting.
Case Report (n=1)
No
Exertional headache can be the sole manifestation of acute coronary syndrome (cardiac cephalgia) and resolves with successful coronary revascularization.
Exertional headache may warrant CAD evaluation in select cases; single report leaves open prevalence and management of cardiac cephalgia.
Although most of the patients presenting with ischemic heart disease have chest pains, there are other rare presenting symptoms like cardiac cephalgia. In this report, we present a case of acute coronary syndrome with an only presentation of exertional headache. It was postulated as acute presentation of coronary artery disease, due to previous history of similar presentation associated with some chest pains with previous left coronary artery stenting. We present an unusual case with cardiac cephalgia in a young patient under the age of 50 which was not reported at that age before. There are four suggested mechanisms for this cardiac presentation.
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Wassef et al. (2014) conducted a case report in Cardiac cephalgia (Coronary artery disease) (n=1). Percutaneous coronary intervention (stenting) was evaluated. A 44-year-old male with cardiac cephalgia presented with exertional headache as the primary symptom of coronary artery disease, which resolved completely following successful coronary stenting.
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