Document Detail

Craniofacial pain of cardiac origin is associated with inferior wall ischemia.
MedLine Citation:
PMID:  25347166     Owner:  NLM     Status:  In-Data-Review    
AIMS: To investigate possible associations between the presence of craniofacial pain of cardiac origin and the location of cardiac ischemia and conventional risk factors.
METHODS: A total of 326 consecutive patients with confirmed myocardial ischemia (192 males, 134 females, mean age 64 years) were studied. Demographic details, health history, factors, prodromal symptoms, electrocardiogram (ECG) findings, and pain characteristics during the ischemic episode were assessed. The location of the ischemia according to the ECG findings was categorized as anterior, inferior, or lateral. Univariate chi-square analyses and a multivariate logistic regression model were used for data analysis. Two age subgroups (< 65 and > 65) were established when controlling for covariates.
RESULTS: Craniofacial pain of cardiac origin was significantly associated with an inferior localization of cardiac ischemia (P < .001) and was more frequently reported in diabetic patients (P = .014). Thirty-eight patients (12%) did not experience chest pain during the myocardial ischemia. Nine patients (3%) experienced a prodromal angina episode without chest pain.
CONCLUSION: The occurrence of craniofacial pain during myocardial ischemia, with or without an acute myocardial infarction, was associated with ischemia within the inferior wall. This result suggests the involvement of the vagal afferent system in the mechanisms of craniofacial pain of cardiac origin.
Marcelo Kriener; Ramón Alvarez; Anders Waldenström; Virginia Michelis; Rosana Muñiz; Annika Isberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral & facial pain and headache     Volume:  28     ISSN:  2333-0384     ISO Abbreviation:  J Oral Facial Pain Headache     Publication Date:  2014  
Date Detail:
Created Date:  2014-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101624698     Medline TA:  J Oral Facial Pain Headache     Country:  United States    
Other Details:
Languages:  eng     Pagination:  317-21     Citation Subset:  D    
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