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Headache and sick sinus syndrome: A case report.
World J Clin Cases. 2020 Jun 26; 8(12):2629-2633.WJ

Abstract

BACKGROUND

Sick sinus syndrome is a common disease in cardiology. Typical symptoms include palpitations, dizziness, shortness of breath, chest tightness, and amaurosis. However, to date, there are no known reports of sick sinus syndrome presenting with headache. Whether there is a correlation between headache and sick sinus syndrome merits further research. In this report, we describe a case of headache induced by sick sinus syndrome.

CASE SUMMARY

A 73-year-old female patient presented to our department with the chief complaint of recurrent paroxysmal headache for more than 7 years. The patient described paroxysmal palpations, usually headache occurring after palpitation. Her blood pressure was normal when the most recent headache occurred. A magnetic resonance imaging study and magnetic resonance angiography of the head at another center were normal. A clinical neurological examination was negative. A 24-h Holter electrocardiogram monitoring study showed sick sinus syndrome. The patient received dual chamber pacing implantation and was administered drug therapy to control ventricular rate. The patient's paroxysmal headaches and palpitations had resolved within 1 year, confirmed via a follow-up telephone call.

CONCLUSION

After dual-chamber pacing implantation and drug therapy administration to control the ventricular rate, the patient's paroxysmal headaches and palpitations had resolved within 1 year, confirmed via a follow-up telephone call. We believe that the headaches were related to the patient's sick sinus syndrome.

Authors+Show Affiliations

Department of Neurology, Zigong Fourth People's Hospital, Zigong 643000, Sichuan Province, China.Department of Neurology, Chengdu Second People's Hospital, Chengdu 650017, Sichuan Province, China. cd2gongliang@126.com.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32607342

Citation

Bi, You-Cai, and Liang Gong. "Headache and Sick Sinus Syndrome: a Case Report." World Journal of Clinical Cases, vol. 8, no. 12, 2020, pp. 2629-2633.
Bi YC, Gong L. Headache and sick sinus syndrome: A case report. World J Clin Cases. 2020;8(12):2629-2633.
Bi, Y. C., & Gong, L. (2020). Headache and sick sinus syndrome: A case report. World Journal of Clinical Cases, 8(12), 2629-2633. https://doi.org/10.12998/wjcc.v8.i12.2629
Bi YC, Gong L. Headache and Sick Sinus Syndrome: a Case Report. World J Clin Cases. 2020 Jun 26;8(12):2629-2633. PubMed PMID: 32607342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Headache and sick sinus syndrome: A case report. AU - Bi,You-Cai, AU - Gong,Liang, PY - 2020/03/16/received PY - 2020/05/12/revised PY - 2020/06/03/accepted PY - 2020/7/2/entrez PY - 2020/7/2/pubmed PY - 2020/7/2/medline KW - Case report KW - Differential diagnosis KW - Electrocardiogram KW - Headache KW - Palpitations KW - Sick sinus syndrome SP - 2629 EP - 2633 JF - World journal of clinical cases JO - World J Clin Cases VL - 8 IS - 12 N2 - BACKGROUND: Sick sinus syndrome is a common disease in cardiology. Typical symptoms include palpitations, dizziness, shortness of breath, chest tightness, and amaurosis. However, to date, there are no known reports of sick sinus syndrome presenting with headache. Whether there is a correlation between headache and sick sinus syndrome merits further research. In this report, we describe a case of headache induced by sick sinus syndrome. CASE SUMMARY: A 73-year-old female patient presented to our department with the chief complaint of recurrent paroxysmal headache for more than 7 years. The patient described paroxysmal palpations, usually headache occurring after palpitation. Her blood pressure was normal when the most recent headache occurred. A magnetic resonance imaging study and magnetic resonance angiography of the head at another center were normal. A clinical neurological examination was negative. A 24-h Holter electrocardiogram monitoring study showed sick sinus syndrome. The patient received dual chamber pacing implantation and was administered drug therapy to control ventricular rate. The patient's paroxysmal headaches and palpitations had resolved within 1 year, confirmed via a follow-up telephone call. CONCLUSION: After dual-chamber pacing implantation and drug therapy administration to control the ventricular rate, the patient's paroxysmal headaches and palpitations had resolved within 1 year, confirmed via a follow-up telephone call. We believe that the headaches were related to the patient's sick sinus syndrome. SN - 2307-8960 UR - https://www.unboundmedicine.com/medline/citation/32607342/Headache_and_sick_sinus_syndrome:_A_case_report L2 - https://www.wjgnet.com/2307-8960/full/v8/i12/2629.htm DB - PRIME DP - Unbound Medicine ER -
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