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Updated: Jun 15, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Vascular risk factors, endothelial function, and carotid thickness in patients with migraine: relationship to
Sherifa A Hamed1, Enas A Hamed, Azza M Ezz Eldin
1Department of Neurology, Assiut University Hospital, Egypt. hamed_sherifa@yahoo.com
Insights
Migraine is linked to vascular issues, including endothelial dysfunction and increased carotid artery intima-media thickness. These findings suggest migraine may be a risk factor for atherosclerosis.
Area of Science:
- Neurology
- Vascular Medicine
- Cardiology
Background:
- Migraine is increasingly recognized for its association with vascular risk factors.
- However, functional and structural vascular abnormalities in migraineurs require further investigation.
Purpose of the Study:
- To evaluate vascular risk factors, endothelial function, and carotid artery intima-media thickness (CA-IMT) in individuals with migraine.
- To determine the relationship between these markers and migraine characteristics.
Main Methods:
- A preliminary study involving 63 adult migraineurs and 35 healthy controls.
- Assessment of vascular risk factors (BMI, blood pressure, lipids, glucose, insulin), plasma endothelin-1 (ET-1), brachial artery flow-mediated dilation (FMD%), and CA-IMT.
- Multivariate analysis to identify correlations between variables.
Main Results:
- Migraineurs exhibited elevated systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose, insulin, ET-1, and CA-IMT compared to controls.
- FMD% was inversely correlated with SBP, DBP, glucose, and insulin.
- CA-IMT showed correlations with BMI, SBP, total cholesterol, triglycerides, glucose, insulin, and FMD%.
Conclusions:
- Migraine is associated with endothelial injury, impaired endothelial vasoreactivity, and increased CA-IMT.
- These vascular abnormalities are linked to common vascular risk factors.
- The findings suggest that migraine may represent a risk factor for the development of atherosclerosis.
Abstract:
Recent studies indicated that migraine is associated with specific vascular risk profile. However, the functional and structural vascular abnormalities in migraine are rarely addressed. We evaluated the vascular risk factors, endothelial function, and carotid artery (CA)-intima-media thickness (IMT), segregators of preclinical atherosclerosis, in migraineurs. This preliminary study included 63 adults with headache (migraine with aura [n=14], migraine without aura [n=24], transformed migraine [n=6], and tension headache [n=19]) and 35 matched healthy subjects. The following vascular risks were assessed: body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressures (DBP), serum levels of C-reactive protein, fasting glucose, fasting insulin, total cholesterol, and triglycerides. Plasma endothelin (ET)-1, a vasoactive peptide produced by vascular smooth muscle cells and marker for endothelial injury and atherosclerosis, was measured. Endothelial-dependent vasoreactivity was assessed using brachial artery flow-mediated dilatation (FMD) in response to hyperemia. CA-IMT, structural marker of early atherosclerosis, was measured. Compared with control subjects, SBP, DBP, glucose, insulin, ET-1, and CA-IMT were elevated with migraine. FMD% was inversely correlated with SBP (P < .001), DBP (P < .01), glucose (P < .001), and insulin levels (P < .01). CA-IMT was correlated with BMI (P < .05), SBP (P < .01), total cholesterol (P < .01), triglycerides (P < .001), glucose (P < .001), insulin (P < .01), and FMD% (P < .05). In multivariate analysis, ET-1 was correlated with duration of illness, SBP, DBP, glucose, insulin, IMT, and FMD%. We conclude that endothelial injury, impaired endothelial vasoreactivity, and increased CA-IMT occur with migraine and are associated with vascular risk factors that strongly suggest that migraine could be a risk for atherosclerosis.
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