Acute ECG changes and chest pain induced by neck motion in patients with cervical hernia - A case report

We report two cases of acute cervical angina and ECG changes induced by ant eflexion of the head. Cervical angina is defined as chest pain that resembl es true cardiac angina but originates from cervical discopathy with nerve r oot compression. In these patients, Prinzmetal's angina, valvular heart dis ease, congenital heart disease, left ventricular aneurysm, and cardiomyopat hy were excluded. After all, the patient's chest pain was reproduced by ant eflexion of head, at this time, their ECGs showed nonspecific ST-T changes in the inferior and anterior leads different from the basal EGG. ECG change s returned to normal when the patient's neck moved to the neutral position. To our knowledge, these are the first cases of cervical angina associated with acute ECG changes by neck motion.