Cardiovascular Risk of Migraine in Men and Women

Al-Hassany, Linda; Linstra, K. A.; Terwindt, Gisela M.; Brink, Alec Maassen van den

doi:10.1007/978-3-030-02988-3_2

Cited by 2 publications

(4 citation statements)

References 53 publications

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“…Previous studies pointed out the association between migraine and cardiovascular conditions such as hypertension,6 myocardial infarction6 13 and stroke,6 12 13 and the association specifically on migraine with aura12 13 or other risk factors such as age, smoking habit and use of oral contraceptives 12. However, no association was observed between migraine and cardiovascular conditions such as hypertension, probably due to the younger age of migraine patients in this study or small numbers of high-risk migraine patients for cardiovascular conditions.…”

Section: Discussioncontrasting

confidence: 58%

“…It is important to take into consideration the comorbidities of migraine from diagnosis through to treatment 7. The previously reported comorbidities of migraine include various psychiatric8–11 and somatic conditions such as cardiovascular disorders,6 12 13 gastrointestinal disorders,6 14–16 allergy-related disorders,6 17 18 sleep disorders6 19 20 and gynaecological disorders 21. A meta-analysis showed that the most frequently addressed comorbidities among migraine patients in clinical and population studies were depressive disorders, hypertension and anxiety disorders 22…”

Section: Introductionmentioning

confidence: 99%

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Comorbidities in patients with migraine in Japan: a cross-sectional study using data from National Health and Wellness Survey

Kohno

Chen²,

Ikeda³

et al. 2022

BMJ Open

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ObjectivesThis study aims to examine the association between migraine and various psychiatric and somatic comorbidities in Japan.DesignCross-sectional study using existing data of the 2017 Japan National Health and Wellness Survey (NHWS).SettingNationally representative sample of persons (in terms of age and gender) living in the general community aged 18 years or older in Japan.ParticipantsOut of a sample of 30 001 NHWS respondents, 378 respondents were identified as migraine patients and 25 209 were identified as non-migraine patients. After propensity score (PS) matching (1:4), 1512 matched non-migraine respondents were identified.Primary and secondary outcome measuresPrevalence and PS-matched prevalence ORs (PORs) were assessed for each psychiatric and somatic comorbidity among migraine patients and matched non-migraine respondents (including migraine patients with less than 15 monthly headache days (MHDs) and migraine patients with more than 15 MHDs).ResultsMigraine patients were predominately female and had significantly higher prevalence than matched non-migraine respondents to have psychiatric and somatic comorbidities. Psychiatric comorbidities with >5% prevalence among migraine patients included depression, post-traumatic stress disorder and anxiety disorders, while gastrointestinal disorders were the most prevalent somatic comorbidity category. Other somatic comorbidities included allergies, insomnia, premenstrual syndrome and anaemia. Migraine patients with more than 15 MHDs tended to have higher point estimates for POR.ConclusionPsychiatric and somatic conditions were more prevalent in migraine patients than matched non-migraine respondents, some being novel associations not previously reported in Japan. This study provided insights on comorbidities, which could complicate care, clinical practice and outcomes among migraine patients.

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Section: Discussioncontrasting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Comorbidities in patients with migraine in Japan: a cross-sectional study using data from National Health and Wellness Survey

Kohno

Chen²,

Ikeda³

et al. 2022

BMJ Open

View full text Add to dashboard Cite

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“…Some studies suggest that increased risk of cardiovascular events in migraine patients can be ascribed to a higher occurrence of cardiovascular risk factors, such as smoking, alcohol, high salt intake (hypertension) and obesity (hypercholesterolemia) [26]. Smoking, especially in women migraine patients, increases the risk of stroke [33]. Advice on healthy lifestyle, mainly smoking cessation, control of hypertension (HTN), and maintenance of normal body weight, may aid in controlling some of the modifiable risk factors.…”

Section: Reviewmentioning

confidence: 99%

“…Recently, the European Headache Federation (EHF) and the European Society of Contraception and Reproductive Health (ESC) has published a statement regarding the use of hormonal contraceptives in female migraineurs [36]. In particular, the combination of smoking and oral contraceptives should be avoided in all cases in young women with migraine (aura) as this increases the risk for ischemic stroke [33].…”

Section: Reviewmentioning

confidence: 99%

Association of Migraine and Ischemic Heart Disease: A Review

Saeed

Rana

Warriach

et al. 2019

Cureus

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Many new studies have shown an association between migraine and ischemic heart disease, and the association seems to be multi-factorial. This article reviews what is already known about this linkage and further investigates if migraine is a risk factor for cardiovascular disease.The literature search for this article was performed primarily using PubMed as the search engine. Only those articles that assessed migraine as exposure and cardiovascular events as outcomes were included. Also, articles only from the last five years with full-text and human studies were reviewed.Based on our investigation and as indicated by previous studies, migraine headache is associated with different kinds of cardiovascular events. Healthcare providers need to be aware of this association so that they can assess and manage their migraine patients better.

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Cardiovascular Risk of Migraine in Men and Women

Cited by 2 publications

References 53 publications

Comorbidities in patients with migraine in Japan: a cross-sectional study using data from National Health and Wellness Survey

Comorbidities in patients with migraine in Japan: a cross-sectional study using data from National Health and Wellness Survey

Association of Migraine and Ischemic Heart Disease: A Review

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