Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jun 26, 2014; 6(6): 514-516
Published online Jun 26, 2014. doi: 10.4330/wjc.v6.i6.514
Headache: An unusual presentation of acute myocardial infraction
Dimitrios Asvestas, Konstantinos Vlachos, Anastasios Salachas, Konstantinos P Letsas, Antonios Sideris
Dimitrios Asvestas, Konstantinos Vlachos, Anastasios Salachas, Konstantinos P Letsas, Antonios Sideris, Second Department of Cardiology, Evangelismos General Hospital, 10676 Athens, Greece
Author contributions: Asvestas D reviewed the literature, and helped to draft the manuscript; Vlachos K reviewed the literature, and helped to draft the manuscript; Salachas A performed the coronary angiography; Letsas KP critically revised the manuscript; Sideris A critically revised the manuscript; all authors have read and approved the final manuscript.
Correspondence to: Konstantinos P Letsas, MD, FESC, Second Department of Cardiology, Evangelismos General Hospital, Ipsilantou 45-47, 10676 Athens, Greece. k.letsas@mail.gr
Telephone: +30-21-07201466 Fax: +30-21-32041344
Received: December 9, 2013
Revised: April 8, 2014
Accepted: May 13, 2014
Published online: June 26, 2014
Core Tip

Core tip: The association of headache with myocardial ischemia is unusual and is accompanied by chest discomfort. The only symptom of this patient was occipital headache and this is extremely rare. Owing to the rare occurrence of headache as a symptom of myocardial ischemia, diagnosis may be extremely difficult since a brain computed tomography imaging is important to rule out the possibility of hemorrhage.