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Volume 31 , Issue 4
Fall 2017

Pages e1Ėe3

Orofacial Pain Associated with Vasospastic Angina: A Case Report

Makoto Adachi, DDS, PhD/Mio Hayashi, DDS/Tomonori Segawa, MD/Takahiko Yamaki, MD/Yasunori Muramatsu, DDS, PhD/Shinichiro Sumitomo, DDS, PhD

PMID: 29019475
DOI: 10.11607/ofph.1768

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 patientís 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.

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