Key result
Thunderclap headache occurring at rest can present as the sole symptom of an acute myocardial infarction.
Highlights that acute myocardial infarction can rarely present solely as a thunderclap headache at rest, expanding the known atypical presentations of cardiac ischemia.
Supports including MI in thunderclap headache differential; hypothesis-generating from one case and should not yet change practice.
Headache as the presenting symptom of myocardial ischemia has been reported in more than 20 cases. These headaches have been described as of gradual onset, associated with exertion and with EKG changes. We present herein the first case of thunderclap headache occurring at rest as the sole symptom of an acute myocardial infarction.
No takes yet. Share an insight, caveat, or question.
Broner et al. (2007) studied this question. Thunderclap headache occurring at rest can present as the sole symptom of an acute myocardial infarction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: