My question is about my symptoms. For 3 years I've had a serious headache disorder. 24/7 dull headache, with frequent migraine like headache in the mornings espeically. I had an extensive neuro workup, negative. Now recently I've begun having atypical chest pain, fatigue, heart palps which are aggrivated by exercise during and after, constant nausea, episodes of breathlessness, eratic pulse.
Often when I first stand up, my heart beats very hard and pushes the blood into my head very hard making the same exact head pain syndome temporarily worse.
I have had a stress test and echo and chest xray...and of course labs which have all been normal. However, I wonder sometimes, is there another known connection between the heart or vascular system and headaches? This seems too much of a coincidence to be randomly occuring illnesses in a 30 yr old man with unremarkable med history.
I am not yet convinced about the data regarding PFO and migraines. It seems to me that you should discuss your headaches with a neurologist to see if they have any other options
If you have had an echo and it was normal then it is very unlikely that you have a clinically significant PFO. Point of fact- about 30% of the population has a PFO.
I don't know if this will help, but my cardio surgeon told me that recently there was a large study done regarding PFO and migraine, and there was found to be no link. He indicated that device closure of PFO in this study did not prove to have an impact on migraines. I agree with Dr. Conaway, and would be very careful about closing the hole unless you have had other problems. I'm not a doctor, but both my surgeon and neurologist feel the same way.
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