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Orofacial Pain Associated with Vasospastic Angina: A Case Report
- Source :
- Journal of Oral & Facial Pain and Headache. 31:e1-e3
- Publication Year :
- 2017
- Publisher :
- Quintessence Publishing, 2017.
-
Abstract
- The primary symptom of ischemic heart disease is typically chest pain, but in some cases, this pain may radiate to the maxillofacial region. This article describes the case of a 44-year-old man with orofacial pain of cardiac origin. The patient was suspected to be suffering from cardiac disease by the oral and maxillofacial surgeon and was referred to a cardiologist, where he received a heart examination. The patient was diagnosed by means of cardiac catheterization as having coronary spastic angina. During catheterization, intracoronary ergonovine maleate induced orofacial pain that was almost the same in character and intensity as the patient's first episode. The orofacial pain was considered to be telalgia from coronary spastic angina. The patient started medication on the same day as the diagnosis. There was no recurrence of any symptoms. These findings indicate that in such cases, the dentist may contribute to identifying ischemic heart disease and should refer the patient to a cardiologist.
- Subjects :
- First episode
Vasospastic angina
medicine.medical_specialty
Orofacial pain
business.industry
medicine.medical_treatment
030206 dentistry
Disease
Chest pain
medicine.disease
Surgery
Angina
03 medical and health sciences
0302 clinical medicine
Anesthesiology and Pain Medicine
Anesthesia
medicine
Spastic
Dentistry (miscellaneous)
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Cardiac catheterization
Subjects
Details
- ISSN :
- 23330384
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Journal of Oral & Facial Pain and Headache
- Accession number :
- edsair.doi.dedup.....e79e64ebbeecebd787b0b4aad3f6dbce
- Full Text :
- https://doi.org/10.11607/ofph.1768