Facial pain of cardiac origin: a case report

Sao Paulo Medical Journal

Ana Carolina De Oliveira Franco¹  José Tadeu Tesseroli De Siqueira¹  Alfredo José Mansur¹ 

[1] ,Universidade de São Paulo Faculdade de Medicina Instituto do Coração

关键词: Facial pain;    Temporomandibular joint disorders;    Angina pectoris;    Myocardial infarction;    Dor orofacial;    Transtornos da articulação temporomandibular;    Angina pectoris;    Infarto do miocárdio;    Cardiopatia isquêmica;   

DOI  :  10.1590/S1516-31802006000300012

来源: SciELO

【 摘 要 】

CONTEXT: Cardiac pain may radiate to the face and lead patients to seek dental care. Dentists may contribute towards the diagnosing of ischemic heart disease and thus refer patients for cardiological evaluation. CASE REPORT: A 50-year-old female patient was referred to a dentist for evaluation of a suspected temporomandibular disorder after repeated visits to medical emergency departments due to excruciating facial and left temporal pain associated with exertion. The pain would start in the chest and radiate to the neck, face and left temporal region. The patient’s chief complaint was the facial pain; hence, she sought dental care. The dental examination revealed an edentulous upper jaw and partially edentulous lower jaw with full upper prosthetic set of teeth and decreased vertical dimension. X-ray of facial bones did not reveal any bone abnormalities. A diagnosis of temporomandibular disorder was made. However, she was referred for cardiological evaluation, since her pain was starting in the chest and because she had a past medical history of surgical treatment for coronary artery disease. A diagnosis of angina pectoris was made, the therapeutic regimen was optimized and her angina was brought under control.

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