Electrocardiographic Changes During Migraine Attacks

Aygün, Dursun; Altıntop, Levent; Doğanay, Zahide; Güven, Hakan; Baydın, Ahmet

doi:10.1046/j.1526-4610.2003.03164.x

Cited by 26 publications

(30 citation statements)

References 18 publications

(86 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is in contrast with the literature in adults, which illustrates a variety of other conduction and rhythm issues during migraine headache, such as sinus bradycardia, premature ventricular beats, right bundle branch block, nonspecific ST-T wave abnormalities, 8 and prolongation of the PR interval. 9 This could be related to the prevalence of ischemic heart disease and other cardiac comorbidities in the adult population. This study has several limitations.…”

Section: Discussionmentioning

confidence: 99%

“…A subsequent study comparing ECGs during acute migraine to those obtained when the patients were pain-free, illustrated sinus bradycardia, prszemature ventricular beats, right bundle branch block, and nonspecific ST segment and T wave abnormalities during headaches. 8 Aygun et al 9 reported that 30% of migraineurs developed arrhythmia in association with migraine attacks and significant prolongation of PR and QTc intervals . Similarly, Duru et al 10 reported increased QTc intervals, QTc dispersion, and P-wave dispersion during acute migraine.…”

mentioning

confidence: 99%

See 1 more Smart Citation

QTc Prolongation in Acute Pediatric Migraine

May¹,

Millar²,

Barlow³

et al. 2015

Pediatric Emergency Care

View full text Add to dashboard Cite

Thirteen patients with migraine (mean age, 11.6 ± 2.6 years) were evaluated. Mean QTc interval during headache was significantly longer than the QTc interval in the absence of headache (437.9 ± 27.7 ms compared with 419.3 ± 29.9 ms; p = 0.04). Three patients (23%) had unequivocal prolongation of the QTc (>460 ms) during the migraine, two of which normalized with headache resolution. The mean increase in QTc during headache did not reach or exceed 30 ms (p = 0.86) CONCLUSIONS: This study is the first to illustrate a connection between QTc prolongation and acute migraine headache in children. If confirmed in future studies, children should be monitored for QTc prolongation during the acute treatment of migraine in the emergency department when using medications that can lengthen the QTc interval.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

QTc Prolongation in Acute Pediatric Migraine

May¹,

Millar²,

Barlow³

et al. 2015

Pediatric Emergency Care

View full text Add to dashboard Cite

show abstract

“…In our study, we found that P max and P min were similar between migraine patients and controls. Similarly, Aygun et al reported that ECG abnormalities particularly PR and corrected QT (QTc) interval lengthening often were present during a migraine attack, and these abnormalities would be absent or less prominent during pain-free intervals [22]. Duru et al also found that ECG abnormalities including P -wave dispersion were more prominent during migraine attack [13].…”

Section: Discussionmentioning

confidence: 99%

HigherP-Wave Dispersion in Migraine Patients with Higher Number of Attacks

Koçer

Eryılmaz

Tutkan³

et al. 2012

The Scientific World Journal

View full text Add to dashboard Cite

Objective and Aim. An imbalance of the sympathetic system may explain many of the clinical manifestations of the migraine. We aimed to evaluate P-waves as a reveal of sympathetic system function in migraine patients and healthy controls. Materials and Methods. Thirty-five episodic type of migraine patients (complained of migraine during 5 years or more, BMI < 30 kg/m2) and 30 controls were included in our study. We measured P-wave durations (minimum, maximum, and dispersion) from 12-lead ECG recording during pain-free periods. ECGs were transferred to a personal computer via a scanner and then used for magnification of x400 by Adobe Photoshop software. Results. P-wave durations were found to be similar between migraine patients and controls. Although P WD (P-wave dispersion) was similar, the mean value was higher in migraine subjects. P WD was positively correlated with P max (P < 0.01). Attacks number per month and male gender were the factors related to the P WD (P < 0.01). Conclusions. Many previous studies suggested that increased sympathetic activity may cause an increase in P WD. We found that P WD of migraine patients was higher than controls, and P WD was related to attacks number per month and male gender. Further studies are needed to explain the chronic effects of migraine.

show abstract

“…Nevertheless, ECG changes have been described in migraine. A study by Aygun et al (11) demonstrated T‐wave changes in 66% of patients during the phase of a migraine attack which became absent or less prominent during pain‐free intervals.…”

Section: Discussionmentioning

confidence: 99%