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- Youngsoon Yang, Dushin Jeong, Dong Gyu Jin, Il Mi Jang, Younghee Jang, Hae Ri Na, and Sanyun Kim.
- Department of Neurology, Hyoja Geriatric Hospital, Yongin, Korea.
- J Clin Neurol. 2010 Jun 1; 6 (2): 99-101.
BackgroundUnder certain conditions, exertional headaches may reflect coronary ischemia.Case ReportA 44-year-old woman developed intermittent exercise-induced headaches with chest tightness over a period of 10 months. Cardiac catheterization followed by acetylcholine provocation demonstrated a right coronary artery spasm with chest tightness, headache, and ischemic effect of continuous electrocardiography changes. The patient's headache disappeared following intra-arterial nitroglycerine injection.ConclusionsA coronary angiogram with provocation study revealed variant angina and cardiac cephalalgia, as per the International Classification of Headache Disorders (code 10.6). We report herein a patient with cardiac cephalalgia that manifested as reversible coronary vasospasm following an acetylcholine provocation test.
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