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The comorbidity of migraine and hypertension. A study in a tertiary care headache centre

Maria Pia Prudenzano1, Carlo Monetti, Lucia Merico

  • 1Headache Disorders Centre, Neurological and Psychiatric Sciences Department, University of Bari, Piazza G. Cesare 11, I-70124, Bari, Italy. m.p.prudenzano@neurol.uniba.it

The Journal of Headache and Pain
|December 20, 2005
PubMed

Insights

Hypertension is more common in migraine and tension-type headache (TTH) patients than the general population, possibly due to seeking medical care. TTH patients showed the highest hypertension rates, suggesting vascular links.

Area of Science:

  • Neurology
  • Cardiovascular Medicine

Background:

  • Conflicting literature exists on migraine and hypertension comorbidity.
  • Hypertension prevalence in headache sufferers requires further investigation.

Purpose of the Study:

  • To compare hypertension distribution in migraineurs versus tension-type headache (TTH) patients.
  • To investigate potential links between headache types and hypertension.

Main Methods:

  • Comparative analysis of hypertension prevalence.
  • Inclusion of migraine and TTH patient cohorts.
  • Comparison with general population hypertension rates.

Main Results:

  • Elevated hypertension prevalence observed in both headache groups compared to the general population.
  • Highest hypertension prevalence detected in TTH patients.
  • Potential Berkson's bias noted in medical-seeking populations.

Conclusions:

  • Headache sufferers exhibit higher hypertension rates, potentially influenced by healthcare-seeking behavior.
  • Findings support vascular mechanisms in tension-type headaches.
  • Further research is needed to clarify migraine-hypertension relationship.

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