Introduction
Materials and methods
Case and literature review
Results
Case presentation
Literature review
A. Sexual characteristic | |
M/F | 21/14 |
B. Triggers | |
Expertise/Sexual/Emotion | 18 |
None | 6 |
Not mentioned | 11 |
C. Side of headache | |
Right | 3 |
Left | 2 |
Bilateral | 16 |
Not mentioned | 14 |
D. Regions of headache | |
Occipital | 16 |
Vertex | 6 |
Frontal | 7 |
Temporal | 5 |
Parietal | 3 |
Other Regionsa
| |
E. Quality of headache | |
Shooting | 4 |
Bursting | 4 |
Sharp | 5 |
Dull | 6 |
Squeezing | 2 |
Pulsating | 2 |
Not mentioned | 16 |
F. Intensity of headache | |
33 cases presented severe intensity. 2 cases presented mild or moderate | |
G. Associations with headache | |
Nausea or Vomiting | 10 |
Sonophobia | 1 |
Photophobia | 1 |
Sweating | 5 |
Dizziness | 2 |
Other Associationsb
| |
Without | 21 |
Source | Sex/Age | Risk Factors | Symptoms of Cardiac ischemia | Cardiac Enzyme | ECG | Stress Test | DSA |
---|---|---|---|---|---|---|---|
Grace, 1997 [1] | M/59 | None | None | NA | T inversion in anterolateral leads | ST depression | RCA occlusion, LAD 70% stenosis |
Lipton, 1997 [31] | M/57 | Smoking | Vague abdominal, chest discomfort | NA | Flattened T in V2, AVL. Inverted T in V5. Biphasic T waves in V3, V4, V6 | ST depression in II, III, aVF and V4-6 | Severe three-vessel disease |
M/67 | Hypertension, Smoking | None | NA | Sinus bradycardia and a possible old inferior wall myocardial infarct | ST depression in inferolateral leads | Three-vessel disease with 90% LCX stenosis | |
Lance, 1998 [32] | M/62 | Hyperlipidemia, Smoking | Tightness in the right side chest | NA | NA | ST depression in V4-V6 | LAD and RCA occlusion |
Lanza, 2000 [3] | M/65 | Hyperlipidemia, Smoking | None | Elevate | Normal | T peaking in V2-V4 leads | RCA occlusion, LAD and LCX 90% stenosis |
Amendo, 2001 [6] | F/78 | Hyperlipidemia, Hypertension | None | Elevate | ST elevation in I, aVL | NA | Severe triple vessel disease |
F/77 | None | None | Elevate | T inversion across the precordium | NA | Normal coronary arteries | |
Rambihar, 2001 [33] | F/56 | None | None | NA | NA | ST depression in I, II, AVF, V4-6 leads | LM 40% stenosis, 90% LCX 90%, stenosis, LAD 99% stenosis |
Auer, 2001 [34] | M/47 | Hyperlipidemia, Smoking | NA | NA | ST elevation in I, aVL; ST depression in II, III, aVF | NA | Biopsy: LAD occlusion, RCA 80% stenosis |
Martínez, 2002 [35] | F/68 | Hyperlipidemia, Diabetes, Smoking | None | NA | T inversion in V2, V3, and V4. | ST depression in anterior, lateral, and septal | Three-vessel occlusive disease. |
Famularo, 2002 [36] | M/70 | Hypertension, Smoking | Midepigastric pain | Elevate | ST elevation in II. III, aVF | NA | Not performed |
Morlote, 2002 [37] | M/59 | Hyperlipidemia, Hypertension | Chest discomfort, diaphoresis. | NA | ST depression | NA | NA |
Source | Sex/Age | Risk Factors | Symptoms of Cardiac ischemia | Cardiac Enzyme | ECG | Stress Test | DSA |
Sathirapanya, 2004 [38] | M/58 | Smoking | Chest tightness | NA | ST elevation in V1-3 | NA | LM 50% stenosis, LAD occlusion, 1st OM 70% stenosis, RCX occlusion |
Chen, 2004 [39] | M/76 | Hypertension | Chest pain | NA | T inversion in I, aVL | ST depression in II, III, aVF | LAD 90% stenosis, RCA 50% stenosis |
Korantzopoulos, 2005 [40] | F/73 | Hyperlipidemia, Hypertension, Obesity | None | Elevate | ST depression in V2-V5 | NA | LAD 70% stenosis |
Cutrer, 2006 [5] | M/53 | Hyperlipidemia, Hypertension, Smoking, Obesity | None | NA | NA | Negative | RCA occlusion, LAD 60% stenosis |
Morlote, 2006 [41] | F/74 | Diabetes, Obesity | Chest tightness | Evaluate | ST depression in V1-V4 | NA | Not performed |
F/64 | Hyperlipidemia, Hypertension, Diabetes | None | Not performed | Not performed | Not performed | Not performed | |
Seow, 2007 [42] | M/35 | Smoking | None | Evaluate | ST evaluate in V2 to V4 | NA | LAD occlusion |
Broner, 2007 [43] | F/72 | Hyperlipidemia, Diabetes | None | Evaluate | ST evaluate in II, III, aVF | NA | RCA occlusion, LAD 30% stenosis |
Wei, 2008 [28] | M/36 | Smoking | Ventricular fibrillation with cardiac arrest | NA | ST evaluate in V2 to V6 | NA | LAD 90% stenosis |
F/85 | None | Chest pain | NA | NA | NA | NA | |
Wang, 2008 [29] | F/81 | Hypertension | Loss consciousness, ventricular fibrillation. | NA | ST evaluate in II, III, aVF | NA | RCX 99% stenosis |
Source | Sex/Age | Symptoms of Cardiac ischemia | Cardiac Enzyme | ECG | Stress Test | DSA | |
Dalzell, 2009 [44] | F/44 | Smoking | None | NA | ST evaluate in II, III, aVF | NA | RCA occlusion |
Sendovski, 2009 [45] | F/65 | Hyperlipidemia, Hypertension, | None | Evaluate | ST depression at lateral wall and a mild ST elevation at precordial leads. | NA | LAD 70% stenosis, LCX 95% stenosis, RCA 80% stenosis, RPD 90% stenosis |
Chatzizisis, 2010 [46] | M/42 | Diabetes | None | Evaluate | ST depression and invert T in V2-V5 | NA | LAD occlusion |
Yang, 2010 [4] | F/44 | None | Chest discomfort, epigastric pain | NA | Normal | ST depression | Vasospasm of the right coronary artery in response to an intra-arterial injection of acetylcholine |
Costopoulos, 2011 [47] | M/55 | Hyperlipidemia, Hypertension, Smoking, Diabetes | Breathlessness | Evaluate | Widespread ST segment depression | NA | Triple-vessel disease |
Elgharably, 2013 [48] | M/55 | Smoking | None | Evaluate | Q wave in III, aVF | NA | Significant lesion with thrombus in LAD |
Asvestas, 2014 [49] | M/86 | Hypertension, Smoking | None | Evaluate | ST depression in V1-V5, ST elevation in V7-V9 | NA | LCX occlusion, LAD and RCA severe stenosis |
Mathew, 2014 [50] | M/42 | Hypertension | Palpitations, shortness of breath | NA | NA | NA | LAD 99% stenosis |
Prakash, 2015 [51] | M/67 | Smoking | NA | NA | Q in II, III, aVF. | ST depression in inferior leads. | RCA 90% stenosis, LAD 75% stenosis, LCX 70% stenosis |
Huang, 2016 [52] | F/70 | Hypertension, Smoking | None | Evaluate | ST elevation in V2-V6 | NA | Significant stenosis with intramural thrombus of LAD. |
Shankar, 2016 [53] | M/73 | Diabetes | Chest pain | NA | Normal | ST depression in inferior leads. | Triple-vessel disease |
Current case | M/40 | Smoking | Chest discomfort, palpitations | Normal | Inverted T wave | Not performed | Triple-vessel disease |