Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation
Abstract Background Cardiac cephalalgia is an unusual condition that occurs during an episode of myocardial ischemia. Information about cardiac cephalalgia is scarce and its characteristics and physiopathology remain unclear. Our aim is to provide a narrative review of clinical characteristics and p...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | The Journal of Headache and Pain |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s10194-022-01508-7 |
| _version_ | 1811249982155522048 |
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| author | María Pilar Navarro-Pérez Elena Bellosta-Diago Jes Olesen Sonia Santos-Lasaosa |
| author_facet | María Pilar Navarro-Pérez Elena Bellosta-Diago Jes Olesen Sonia Santos-Lasaosa |
| author_sort | María Pilar Navarro-Pérez |
| collection | DOAJ |
| description | Abstract Background Cardiac cephalalgia is an unusual condition that occurs during an episode of myocardial ischemia. Information about cardiac cephalalgia is scarce and its characteristics and physiopathology remain unclear. Our aim is to provide a narrative review of clinical characteristics and physiopathology of cardiac cephalalgia and to evaluate the current diagnostic criteria. Methods A search through PubMed was undertaken for studies on cardiac cephalalgia published until 20th September 2022. We summarized the literature and provide a comprehensive review of the headache characteristics and possible mechanisms. We also evaluated current International Classification of Headache Disorders third edition diagnostic criteria based on prior reported cases. Results In total, 88 cases were found. Headache characteristics were variable. Occipital location and throbbing pain were the most frequently reported. Headache was accompanied in most cases by cardiac symptoms. Criterion B was fulfilled by 98% of cases, criterion C1 by 72%, and criteria C2a and C2b by 37 and 93.2%, respectively. Regarding headache features described in diagnostic criterion C3, ‘moderate to severe intensity’, ‘accompanied by nausea’, ‘not accompanied by photophobia or phonophobia’ and ‘aggravated by exertion’, were reported in 75, 31, 55 and 55% of cases, respectively. Conclusion Cardiac cephalalgia characteristics are variable and the headache features described in the diagnostic criterion C3 might not be adequate. Given that cardiac cephalalgia can be the manifestation of a life-threatening condition it is important to increase the knowledge about this entity. |
| first_indexed | 2024-04-12T15:57:02Z |
| format | Article |
| id | doaj.art-4b62314f142d48d389975d4c9002bf8c |
| institution | Directory Open Access Journal |
| issn | 1129-2369 1129-2377 |
| language | English |
| last_indexed | 2024-04-12T15:57:02Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | The Journal of Headache and Pain |
| spelling | doaj.art-4b62314f142d48d389975d4c9002bf8c2022-12-22T03:26:20ZengBMCThe Journal of Headache and Pain1129-23691129-23772022-10-012311910.1186/s10194-022-01508-7Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluationMaría Pilar Navarro-Pérez0Elena Bellosta-Diago1Jes Olesen2Sonia Santos-Lasaosa3Neurology Department, Hospital Clínico Universitario Lozano BlesaNeurology Department, Hospital Clínico Universitario Lozano BlesaDanish Headache Center, Department of Neurology, Rigshospitalet-Glostrup, University of CopenhagenNeurology Department, Hospital Clínico Universitario Lozano BlesaAbstract Background Cardiac cephalalgia is an unusual condition that occurs during an episode of myocardial ischemia. Information about cardiac cephalalgia is scarce and its characteristics and physiopathology remain unclear. Our aim is to provide a narrative review of clinical characteristics and physiopathology of cardiac cephalalgia and to evaluate the current diagnostic criteria. Methods A search through PubMed was undertaken for studies on cardiac cephalalgia published until 20th September 2022. We summarized the literature and provide a comprehensive review of the headache characteristics and possible mechanisms. We also evaluated current International Classification of Headache Disorders third edition diagnostic criteria based on prior reported cases. Results In total, 88 cases were found. Headache characteristics were variable. Occipital location and throbbing pain were the most frequently reported. Headache was accompanied in most cases by cardiac symptoms. Criterion B was fulfilled by 98% of cases, criterion C1 by 72%, and criteria C2a and C2b by 37 and 93.2%, respectively. Regarding headache features described in diagnostic criterion C3, ‘moderate to severe intensity’, ‘accompanied by nausea’, ‘not accompanied by photophobia or phonophobia’ and ‘aggravated by exertion’, were reported in 75, 31, 55 and 55% of cases, respectively. Conclusion Cardiac cephalalgia characteristics are variable and the headache features described in the diagnostic criterion C3 might not be adequate. Given that cardiac cephalalgia can be the manifestation of a life-threatening condition it is important to increase the knowledge about this entity.https://doi.org/10.1186/s10194-022-01508-7Secondary headacheMyocardial ischemiaMyocardial infarctionHeadacheExertional headache |
| spellingShingle | María Pilar Navarro-Pérez Elena Bellosta-Diago Jes Olesen Sonia Santos-Lasaosa Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation The Journal of Headache and Pain Secondary headache Myocardial ischemia Myocardial infarction Headache Exertional headache |
| title | Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation |
| title_full | Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation |
| title_fullStr | Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation |
| title_full_unstemmed | Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation |
| title_short | Cardiac cephalalgia: a narrative review and ICHD-3 criteria evaluation |
| title_sort | cardiac cephalalgia a narrative review and ichd 3 criteria evaluation |
| topic | Secondary headache Myocardial ischemia Myocardial infarction Headache Exertional headache |
| url | https://doi.org/10.1186/s10194-022-01508-7 |
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