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Published on: October 19, 2016
Migraine is associated with enhanced arterial stiffness
Tokihisa Nagai1, Yasuharu Tabara, Michiya Igase
1Department of Geriatric Medicine, Ehime University Graduate School of Medicine, Toon, Japan.
Abstract:
Migraine is a common subtype of headache. Epidemiological studies have revealed that migraine could be an independent risk factor for ischemic stroke even in elderly subjects. Arterial stiffness is one of the major pathophysiological bases of stroke. In the present study, we cross-sectionally investigated the possible relationship between migraine and arterial stiffness in community-dwelling subjects. The study subjects were independently recruited from two sources (Group A, n=134, 68+/-5 years; Group B, n=138, 68+/-7 years). Augmentation index (AI), the ratio of augmented pressure by the reflection pressure wave to the pulse pressure, was obtained from the radial arterial waveform as an index of arterial stiffness. Brachial blood pressure was also measured simultaneously. Migraine was diagnosed using a previously validated questionnaire. The prevalence of migraine was 5.2% (Group A) and 16.7% (Group B). Subjects with migraine had higher radial AI in both Group A (migraine, 101+/-15%; other headache, 88+/-12%; no headache, 86+/-12%, p=0.003) and Group B (95+/-11%, 90+/-11%, 91+/-14%, p=0.058). Multiple linear regression analysis revealed that migraine was an independent determinant of AI (beta=0.154, p=0.002) after adjustment for other confounding factors: age (beta=-0.024, p=0.654); sex (beta=0.141, p=0.069); body height (beta=-0.215, p=0.005); systolic blood pressure (beta=0.174, p=0.001); medication for hypertension, hyperlipidemia, and diabetes mellitus (beta=-0.014, p=0.787); and heart rate (beta=-0.539, p<0.001). In a separate analysis by sex, migraine was also a significant determinant for AI (male, beta=0.246, p=0.019; female, beta=0.159, p=0.008). Migraine in the elderly could be a clinical manifestation of enhanced arterial stiffness.
Insights
Migraine is linked to increased arterial stiffness in older adults, a key factor in stroke. This study found migraine independently predicts higher arterial stiffness, suggesting a potential clinical marker.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Geriatrics
Background:
- Migraine is a common headache subtype.
- Migraine is a potential independent risk factor for ischemic stroke, particularly in the elderly.
- Arterial stiffness is a primary pathophysiological basis for stroke.
Purpose of the Study:
- To investigate the relationship between migraine and arterial stiffness in community-dwelling elderly subjects.
- To determine if migraine is an independent predictor of arterial stiffness.
Main Methods:
- Cross-sectional study involving 272 community-dwelling subjects (Groups A and B).
- Augmentation index (AI) from radial arterial waveform used as a measure of arterial stiffness.
- Migraine diagnosed via a validated questionnaire; blood pressure and other factors recorded.
Main Results:
- Subjects with migraine exhibited significantly higher radial AI compared to those without migraine.
- Migraine was identified as an independent determinant of AI (p=0.002) after adjusting for confounders.
- This association remained significant in separate analyses for both males and females.
Conclusions:
- Migraine is associated with enhanced arterial stiffness in the elderly.
- Migraine may serve as a clinical manifestation or indicator of increased arterial stiffness in older populations.
- Findings suggest a potential link between migraine and cerebrovascular disease risk through arterial stiffness.
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