| Cardiac cephalgia: a treatable form of exertional headache. | |
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MedLine Citation:
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PMID: 9305346 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report two patients with exertional headaches beginning with vigorous exercise and relieved by rest. Neurologic evaluation and neuroimaging were normal in both. During exercise stress testing, the onset of the patients' typical headaches correlated with ECG changes indicative of myocardial ischemia. In both patients coronary angiography revealed three-vessel disease, and myocardial revascularization procedures were followed by complete resolution of headaches. Based on these patients, and a review of prior similar reports, we conclude that myocardial ischemia is a rare and treatable cause of exertional headache. Accurate diagnosis is critical to controlling headaches and preventing myocardial infarction. |
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Authors:
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R B Lipton; T Lowenkopf; Z H Bajwa; R S Leckie; S Ribeiro; L C Newman; M A Greenberg |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Neurology Volume: 49 ISSN: 0028-3878 ISO Abbreviation: Neurology Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1997-10-10 Completed Date: 1997-10-10 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0401060 Medline TA: Neurology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 813-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Electrocardiography Exercise / physiology* Exercise Test Headache / diagnosis, etiology*, therapy Humans Male Middle Aged Myocardial Ischemia / complications*, diagnosis, etiology Rest |
| Comments/Corrections | |
Comment In:
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Neurology. 1998 Mar;50(3):836
[PMID:
9521306
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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