Document Detail

Should acute myocardial infarction be considered in the differential diagnosis of headache?
MedLine Citation:
PMID:  19106715     Owner:  NLM     Status:  MEDLINE    
AIM: Headache as the only presenting symptom of acute myocardial infarction (MI) is an extremely uncommon phenomenon. The aim of this report is to describe a 61 year-old female patient with exertional headaches being the solely presentation of acute MI. METHODS: As there were no complaints of chest pains or any other symptoms suggestive for MI, she underwent extensive neurological work-up. The correct diagnosis, however, was established only after a detailed description of the localization and radiation of her pains was obtained. CONCLUSION: The importance of a thoroughly obtained anamnesis for the early recognition of cases with MI presenting with headaches, as well as the difference of opinion concerning the correct diagnosis which may occur between the internist and the cardiologist, are discussed.
Uri Sendovski; Yelena Rabkin; Lubov Goldshlak; Moshe George Rothmann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  16     ISSN:  1473-5695     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2008-12-24     Completed Date:  2009-04-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1-3     Citation Subset:  IM    
Department of Emergency Medicine, Rabin Medical Center, Hasharon Hospital, Petah Tiqva, Israel.
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MeSH Terms
Acute Coronary Syndrome / complications*,  diagnosis
Coronary Angiography
Diagnosis, Differential
Emergency Service, Hospital
Headache / etiology*
Middle Aged
Myocardial Infarction / complications*,  diagnosis*

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