以头痛为表现的心绞痛：血管成形术期间症状再现。

Headache as a presentation of angina: reproduction of symptoms during angioplasty.

作者信息

Bowen J, Oppenheim G

机构信息

Department of Medicine, Pacific Medical Center, University of Washington, Seattle 98144.

出版信息

Headache. 1993 May;33(5):238-9. doi: 10.1111/j.1526-4610.1993.hed3305238.x.

DOI:10.1111/j.1526-4610.1993.hed3305238.x

PMID:8320097

Abstract

We report a case of angina presenting as headache in a 59-year-old man. Headaches were relieved by nitroglycerin and were reproduced by occlusion of the first obtuse marginal artery during angioplasty. Headaches resolved after successful angioplasty. The temporal relationship between coronary artery occlusion and the headache suggests that headache angina is due to referred pain rather than a generalized vasospastic disorder.

摘要

我们报告一例59岁男性患者，其心绞痛表现为头痛。硝酸甘油可缓解头痛，血管成形术期间闭塞第一钝缘支动脉可再现头痛症状。成功进行血管成形术后头痛症状消失。冠状动脉闭塞与头痛之间的时间关系表明，头痛型心绞痛是由牵涉痛引起，而非全身性血管痉挛性疾病所致。