From: Cardiac cephalalgia: a case series of four patients and updated literature review
Case | Age | Sex | Site | Quality | Intensity | Onset | Autonomic signs | Cardiac symptoms | Trigger | ECG | Echocardiogram findings | Coronary lesion | Therapy | Follow-up |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 69 | M | Occipital- right shoulder | Pulsatile | Severe | Sudden | Nausea, cold sweating | None | None | ST elev in II, III, aVF | Inf wall akinesis | RCA (#2) 100% | PCI (RCA) | Resolved |
2 | 66 | F | Occipital | NA | Severe | Sudden | Cold sweating | Chest discomfort | Bicycle | ST elev in II, III, aVF, V1-4 | Takotsubo | LAD (#7) 99% | Heparin, PCI (LAD) | Resolved |
3 | 54 | M | Posterior neck-occipital | Strangulation | Moderate | Gradual | Cold sweating, faintness | Chest discomfort | Meal | ST elev in II, II, aVF, III AV block | Inf wall akinesis | RCA (#3) 100%, LAD (#7) 90%, LCX (#13) 100% | PCI (RCA) | Resolved |
4 | 72 | M | Headache | NA | Severe | Sudden | Nausea, vomiting | None | None | ST elev in aVR, II, III, aVF, ST dep in V2-5 | Lat, post, inf wall akinesis, ant-septal severe hypokinesis, mitral regurgitation | RCA (#3) 99%, LCX (#11) 99%, LAD (75%) | PCI (RCA), IABP, ECMO | Resolved/Died |