European Journal of Cardiovascular Medicine

Coronary ischemia typically presents with retrosternal pain that radiates to left arm (1). It may presentatypicallyinvariousformslikeindigestion(2),otalgia(3),facialpain(4)andsyncope(5). Headache as the sole presentation of myocardial infarction (MI) is rare; however it has been reported previously. In a study of 150 patients with angina, about 6% were found to have concomitant headache In this article, we present a patient with myocardial infarction, whose main presentation was with headache and review other cases published in the literature.