Hovedpine: en sjaelden angina pectoris-aekvivalent

Jens Aage Kølsen Petersen, Finn Erland Nielsen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

Typical angina pectoris rarely produces pain above the mandible. We report a patient with exertional headache, which was relieved by nitrates and revascularisation. The explanation is speculative; 1) anatomic convergence of cardiac nerve fibres and somatic efferents from the head; 2) increased intracranial pressure secondary to decreased cardiac output during ischaemia; and 3) unidentified headache eliciting mediators released by cardiac ischaemia. We conclude that headache may be a (the only) manifestation of myocardial ischaemia. The suspicion should arise, if the headache is exercise-induced and relieved by nitrates.

Bidragets oversatte titelHeadache: a rare manifestation of angina pectoris
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind164
Udgave nummer19
Sider (fra-til)2515-6
Antal sider2
ISSN0041-5782
StatusUdgivet - 2002

Emneord

  • Aged
  • Angina Pectoris
  • Exercise Tolerance
  • Headache
  • Humans
  • Male
  • Myocardial Ischemia

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