Headache as anUnusual Presentation of Ischemic Heart Disease: A Case Report

Authors

  • Abdul Wadud Chowdhury Professor and Head,Department of Cardiology, Dhaka Medical College, Dhaka, Bangladesh
  • Sudhakar Sarker Specialist Cardiologist, Bangladesh Specialized Hospital, Shyamoli, Dhaka, Bangladesh
  • Mohammad Ali Specialist Cardiologist, Bangladesh Specialized Hospital, Shyamoli, Dhaka, Bangladesh
  • Pratyay Hasan Indoor Medical Officer, Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Sazedur Rahman Specialist Cardiologist, Bangladesh Specialized Hospital, Shyamoli, Dhaka, Bangladesh
  • Md Rafiqul Islam Specialist Cardiologist, Bangladesh Specialized Hospital, Shyamoli, Dhaka, Bangladesh
  • Quazi Deen Mohammad Professor of Neurology & Director, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jninb.v5i1.42176

Keywords:

Headache angina; Cardiac cephalgia; Cardiac cephalalgia

Abstract

The clinical features of coronary artery disease vary, and patients may present with symptoms other than chest pain, such as headache. Rarely, the headache may be theonly presenting feature without any chest discomfort, and may be confused with migraine. Failure to distinguish such headache, caused by CAD, from migraine may result in wrong treatment with disastrous fate. Elderly patient with the presence of cardiovascular risk factors having recent onset exertional headache should be evaluated for the presence of cardiac cephalgia.We intend to report a 60-year-old hypertensive, diabetic patient with a 6-months history of episodic exertional headaches, who turned out to be a case of headache angina (cardiac cephalgia).

Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 81-86

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Published

2019-07-12

How to Cite

Chowdhury, A. W., Sarker, S., Ali, M., Hasan, P., Rahman, S., Islam, M. R., & Mohammad, Q. D. (2019). Headache as anUnusual Presentation of Ischemic Heart Disease: A Case Report. Journal of National Institute of Neurosciences Bangladesh, 5(1), 81–86. https://doi.org/10.3329/jninb.v5i1.42176

Issue

Section

Case Reports