# Cephalalgia—A “Tricky” Symptom for the Cardiologist: Acute Coronary Syndrome Presenting as Headache

## TL;DR

Headaches can sometimes be the only sign of a heart attack, and doctors should consider this rare possibility.

## Contribution

Highlights the rare but critical presentation of acute coronary syndrome as a headache.

## Key findings

- Headache can be the primary symptom of acute myocardial ischemia.
- Electrocardiogram and cardiac biomarkers are essential for diagnosis in such cases.

## Abstract

Rarely, headache may be the primary or sole symptom of acute myocardial ischemia; clinicians should recognize such atypical presentations and obtain an electrocardiogram and cardiac biomarkers to establish the diagnosis and guide urgent treatment.