摘要:

SYNOPSISIn order to investigate the relationship between headaches and cardiovascular disease, 200 individuals with recurrentidiopathic headaches were compared with age‐ and sex‐matched controls for the prevalence of cardiovasculardiagnoses and electrocardiographic (ECG) abnormalities. Only hypertension was diagnosed more frequently in theheadache group; ischemic heart disease and valvular lesions were diagnosed equally in some cases and controls, aswere rhythm disturbances. Matched ECG's were available in 161 pairs. Ischemic ECG changes were more frequent inthe controls than the headache cases. There were no other differences in ECG findings. This study fails to show apredilection for cardiovascular diseases, other than hypertension, in individuals with headaches. Ischemic heart diseasemay, by ECG analysis, be less common in headache cases than nonheadache contr

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1986.hed2601039.x

出版商:Blackwell Science Inc    

年代:1986

数据来源: WILEY

摘要:

SYNOPSISPatients with chronic cluster headache refractive to agents such as lithium carbonate, methysergide, corticosteroids, or thecalcium channel blocking agents, may respond to histamine desensitization. Intravenous histamine phosphate administeredover a 10‐day treatment course in combination therapy with prophylactic agents, including H 1 and H 2 antagonists, may resultin a marked improvement in the frequency of cluster attacks. Sixty‐four patients seen at the Diamond Headache Clinic wereadmitted to the Inpatient Headache Unit at Louis A. Weiss Memorial Hospital and followed for a period up to one year afterdischarge. Twenty‐five patients had at least a 75% reduction in cluster attacks and all but nine patients demonstrated a partialreduction in their clusters. A group of patients who were previous treatment failures with established agents for chroniccluster were retreated with the same agent following histamine desensitization and had a significant improvement in theircluster attacks.Another group of patients responded to local application of 5% or 10% cocaine solution to the sphenopalatine ganglion. Whileuseful for some patients, the results did not achieve statistical significance compared to similarly treated patients who did notreceive cocainization of the sphenopalatine gan

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1986.hed2601042.x

出版商:Blackwell Science Inc    

年代:1986

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1986.hed2601047.x

出版商:Blackwell Science Inc    

年代:1986

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1986.hed2601051.x

出版商:Blackwell Science Inc    

年代:1986

数据来源: WILEY

ISSN:0017-8748    

DOI:10.1111/j.1526-4610.1986.hed2601052.x

出版商:Blackwell Science Inc    

年代:1986

数据来源: WILEY