Is there any relation between echocardiographic patterns of atrial septal defect (ASD) and migraine?

Providência, A.; Silva, C. S.; Costa, Marco; Quintal, Nuno; Luzeiro, Isabel; Leitão‐Marques, António

doi:10.1097/00003643-200801001-00093

Cited by 2 publications

(3 citation statements)

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“…Consistent with past studies, we observed that PH patients had a higher burden of baseline comorbidities than patients without PH. 10,18,30,34,35 Given the scarcity of literature, existing studies are heterogenous in reporting long-term outcomes in this population. Although adverse events were rare, higher rates were observed in patients with PH 20 .…”

Section: Discussionmentioning

confidence: 99%

“…Consistent with past studies, we observed that PH patients had a higher burden of baseline comorbidities than patients without PH. 10,18,30,34,35…”

Section: Discussionmentioning

confidence: 99%

“…The estimated prevalence of PH 25 among ASD patients has been reported to be between 10% 17 to 20%. [18][19][20] PH prevalence estimates, however, are susceptible to over or underestimation depending on the definition of PH and the measurement modality (RHC versus echocardiography). 21 This study aimed to describe and compare the clinical characteristics and short-and long-term outcomes between patients with and without PH after percutaneous closure of ASD, using the updated PH 20 definition.…”

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confidence: 99%

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Long-Term Outcomes in Adult Patients With Pulmonary Hypertension After Percutaneous Closure of Atrial Septal Defects

Akseer

Abrahamyan

Lee

et al. 2022

Circ: Cardiovascular Interventions

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Background: Pulmonary hypertension (PH), recently redefined as mean pulmonary arterial pressure >20 mm Hg (PH 20 ), may be observed in patients with atrial septal defects (ASD). We aimed to determine the effect of preprocedural PH 20 status on outcomes among patients undergoing ASD closure. Methods: Study population was selected from a retrospective registry of adult patients who underwent percutaneous ASD closure from 1998 to 2016 from a single center and had right heart catheterizations during the procedure. The clinical registry was linked to administrative databases to capture short- and long-term outcomes. Results: We included a total of 632 ASD closure patients of whom 359 (56.8%) had PH 20 . The mean follow-up length was 7.6±4.6 years. Patients with PH 20 were older (mean age 56.5 versus 43.1 years, P <0.001) and a higher prevalence of comorbidities including hypertension (54.3% versus 21.6%, P <0.001) and diabetes (18.1% versus 5.9%, P <0.001) than those without PH. In a Cox proportional hazards model after covariate adjustment, patients with PH had a significantly higher risk of developing major adverse cardiac and cerebrovascular events (heart failure, stroke, myocardial infarction, or cardiovascular mortality), with hazards ratio 2.45 (95% CI, 1.4–4.4). When applying the prior, mean pulmonary arterial pressure ≥25 mm Hg (PH 25 ) cutoff, a significantly higher hazard of developing major adverse cardiac and cerebrovascular events was observed in PH versus non-PH patients. Conclusions: ASD patients with PH undergoing closure suffer from more comorbidities and worse long-term major adverse cardiac and cerebrovascular events outcomes, compared with patients without PH. The use of the new PH 20 definition potentially dilutes the effect of this serious condition on outcomes in this population.

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Section: Discussionmentioning

confidence: 99%

“…Consistent with past studies, we observed that PH patients had a higher burden of baseline comorbidities than patients without PH. 10,18,30,34,35…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Outcomes in Adult Patients With Pulmonary Hypertension After Percutaneous Closure of Atrial Septal Defects

Akseer

Abrahamyan

Lee

et al. 2022

Circ: Cardiovascular Interventions

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Headache and Cardiovascular Disease: Old symptoms, New Proposals

Providência

2010

Future Cardiol.

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Evidence of a link between headache symptoms and cardiovascular disease has rapidly grown in recent years and it is of utmost importance for the cardiologist and neurologist to be aware of this intimate connection. A brief overview of different cardiovascular diseases (namely hypertension, stroke, coronary heart disease, patent foramen ovale, atrial septal defects, atrial septal aneurisms, mitral valve prolapse, and aortic and carotid disease) that may be related to headache is presented in this article. Proposed pathophysiological mechanisms for this association and landmark studies are reviewed and discussed.

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Is there any relation between echocardiographic patterns of atrial septal defect (ASD) and migraine?

Cited by 2 publications

References 0 publications

Long-Term Outcomes in Adult Patients With Pulmonary Hypertension After Percutaneous Closure of Atrial Septal Defects

Long-Term Outcomes in Adult Patients With Pulmonary Hypertension After Percutaneous Closure of Atrial Septal Defects

Headache and Cardiovascular Disease: Old symptoms, New Proposals

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