{"title":"以头痛为表现的急性心肌梗死1例。","authors":"Ahmed Emara, Amr K Hassan, Ahmed M Khairy","doi":"10.1186/s13256-024-04913-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The diagnosis of acute myocardial infarction is straightforward when it presents with typical symptoms. However, some patients can be asymptomatic, and some can present with atypical symptoms.</p><p><strong>Case presentation: </strong>We present a very rare case of acute myocardial infraction that presented with headache and right upper limb numbness of 2-day duration in a 61-year-old female Middle Eastern patient. The patient underwent percutaneous coronary intervention to a totally occluded right coronary artery with two drug-eluting stents. The headache and numbness immediately disappeared after revascularization, and the patient was discharged on anti-ischemic medications. This report concerns a case of cardiac cephalalgia.</p><p><strong>Conclusion: </strong>Myocardial infarction can present in several different ways and should be included in the differential diagnosis for headache.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"18 1","pages":"590"},"PeriodicalIF":0.9000,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613765/pdf/","citationCount":"0","resultStr":"{\"title\":\"Acute myocardial infarction presenting as headache: a case report.\",\"authors\":\"Ahmed Emara, Amr K Hassan, Ahmed M Khairy\",\"doi\":\"10.1186/s13256-024-04913-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The diagnosis of acute myocardial infarction is straightforward when it presents with typical symptoms. However, some patients can be asymptomatic, and some can present with atypical symptoms.</p><p><strong>Case presentation: </strong>We present a very rare case of acute myocardial infraction that presented with headache and right upper limb numbness of 2-day duration in a 61-year-old female Middle Eastern patient. The patient underwent percutaneous coronary intervention to a totally occluded right coronary artery with two drug-eluting stents. The headache and numbness immediately disappeared after revascularization, and the patient was discharged on anti-ischemic medications. This report concerns a case of cardiac cephalalgia.</p><p><strong>Conclusion: </strong>Myocardial infarction can present in several different ways and should be included in the differential diagnosis for headache.</p>\",\"PeriodicalId\":16236,\"journal\":{\"name\":\"Journal of Medical Case Reports\",\"volume\":\"18 1\",\"pages\":\"590\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-12-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613765/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s13256-024-04913-5\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s13256-024-04913-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Acute myocardial infarction presenting as headache: a case report.
Background: The diagnosis of acute myocardial infarction is straightforward when it presents with typical symptoms. However, some patients can be asymptomatic, and some can present with atypical symptoms.
Case presentation: We present a very rare case of acute myocardial infraction that presented with headache and right upper limb numbness of 2-day duration in a 61-year-old female Middle Eastern patient. The patient underwent percutaneous coronary intervention to a totally occluded right coronary artery with two drug-eluting stents. The headache and numbness immediately disappeared after revascularization, and the patient was discharged on anti-ischemic medications. This report concerns a case of cardiac cephalalgia.
Conclusion: Myocardial infarction can present in several different ways and should be included in the differential diagnosis for headache.
期刊介绍：
JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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