Severe explosive headache: a sole presentation of acute myocardial infarction in a young man

Vei-Ken Seow; Chee-Fah Chong; Tzong-Luen Wang; Jiann-Ruey Ong

doi:10.1016/j.ajem.2006.11.014

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Severe explosive headache: a sole presentation of acute myocardial infarction in a young man

Vei-Ken Seow, MD

Chee-Fah Chong, MS, MD

Tzong-Luen Wang, PhD, MD

Jiann-Ruey Ong, MD

Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, 11101 Taipei, Taiwan, ROC

DOI: http://dx.doi.org/10.1016/j.ajem.2006.11.014

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Acute myocardial infarction is a potentially life-threatening disease that must be diagnosed early and accurately at the emergency department. Its diagnosis may be difficult if manifested solely as a severe explosive headache in a young, nondiabetic, and nonobese man. We report a case of ST-elevation myocardial infarction that was initially misdiagnosed as a case of headache until routine electrocardiography was obtained.

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Severe explosive headache: a sole presentation of acute myocardial infarction in a young man

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