Key result
Stent placement resulted in complete resolution of exertional headaches in a patient with coronary ischemia detected by SPECT stress testing despite normal electrocardiographic stress tests.
Case Report (n=1)
Exertional headache in the absence of chest pain may reflect underlying symptomatic coronary artery disease even when conventional ECG stress testing is normal.
Exertional headache may indicate coronary ischemia missed by ECG stress testing; this case report leaves open the role for SPECT evaluation.
Exertional headaches may under certain conditions reflect coronary ischemia. We report the case of a patient seen in a neurology referral practice whose exertional headaches, even in the face of two normal electrocardiographic stress tests and in the absence of underlying chest pain were the sole symptoms of coronary ischemia as detected by Tc-99m Sestamibi testing SPECT stress testing. Stent placement resulted in complete resolution of headaches. Exertional headache in the absence of chest pain may reflect underlying symptomatic coronary artery disease (CAD) even when conventional electrocardiographic stress testing does not indicate ischemia.
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Cutrer et al. (2006) conducted a case report in Exertional headache and coronary ischemia (n=1). Stent placement was evaluated on Resolution of headaches. Stent placement resulted in complete resolution of exertional headaches in a patient with coronary ischemia detected by SPECT stress testing despite normal electrocardiographic stress tests.
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