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Published on: June 2, 2014
Hypertension as a risk factor for migraine chronification
P Barbanti1, C Aurilia, G Egeo
1Headache and Pain Unit, IRCCS San Raffaele Pisana, Via Della Pisana 235, 00163, Rome I, Italy. piero.barbanti@sanraffaele.it
Arterial hypertension may drive episodic migraine transformation into chronic migraine. Monitoring blood pressure and exploring endothelial function treatments are recommended for migraine patients with increased attack frequency.
Area of Science:
- Neurology
- Cardiovascular Medicine
Background:
- Episodic migraine can progress to chronic migraine.
- Comorbid medical conditions are implicated in migraine transformation.
- Arterial hypertension is increasingly recognized as a factor in chronic migraine development.
Purpose of the Study:
- To investigate the role of arterial hypertension in the transformation of episodic migraine to chronic migraine.
- To explore the potential mechanisms linking hypertension and migraine chronification.
Main Methods:
- Review of existing studies on hypertension and migraine progression.
- Analysis of the proposed pathophysiological links between arterial hypertension, endothelial dysfunction, and cerebral vasculature.
Main Results:
- Hypertension is associated with chronic migraine and may induce migraine chronification.
- Hypertension may exacerbate migraine's vascular effects, worsening endothelial dysfunction in cerebral vasculature.
Conclusions:
- Blood pressure monitoring is advised for migraineurs with unexplained increases in attack frequency.
- Further research is needed to confirm if prophylactic treatments targeting endothelial function can improve migraine outcomes in hypertensive patients.
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