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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

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A Qualitative Study of Migraine Headache Experience in Patients with Patent Foramen Ovale Based on the Symptom

Meng Li1, Min Feng2, Mengtian Li3

  • 1Nursing Department, The Third People's Hospital of Henan Province, Zhengzhou, People's Republic of China.

Patient Preference and Adherence
|August 18, 2025
PubMed
Abstract

Insights

Patients with patent foramen ovale (PFO) and migraine experience significant symptom variability and seek effective management strategies. Their journey highlights the need for comprehensive, patient-centered care addressing physical, emotional, and social impacts.

Area of Science:

  • Cardiology
  • Neurology
  • Qualitative Health Research

Background:

  • Patent foramen ovale (PFO) is a cardiac anomaly associated with various neurological conditions, including migraine.
  • Understanding the lived experience of migraine in patients with PFO is crucial for developing targeted management strategies.

Purpose of the Study:

  • To explore the migraine experience of patients with patent foramen ovale (PFO) based on the Symptom Management Theory (SMT).

Main Methods:

  • Qualitative research utilizing face-to-face, semi-structured, in-depth interviews with 16 patients diagnosed with PFO and migraine.
  • Data analysis employed the Colaizzi phenomenological method.

Main Results:

  • Migraine experience themes included: Symptom Perception (variability in severity, triggers, environmental/lifestyle impacts), Symptom Management (medication, lifestyle adjustments, coping strategies, expectations/concerns about PFO closure), and Symptom Outcomes (physical/mental health challenges, social/occupational disruptions, need for support, adaptation).
  • Patients reported moderate symptom severity (mean VAS 5.2 ± 1.8) and significant impacts on daily life.

Conclusions:

  • The SMT provides a framework for understanding the multifaceted migraine experience in PFO patients.
  • Findings underscore the profound physical, emotional, and social impact of chronic migraines, necessitating patient-centered, multidisciplinary care.
  • Professional support is critical for managing both physical and psychological aspects; personalized approaches focusing on symptom relief, well-being, and adaptation are recommended.
Keywords:
PFOSMTmigrainepain managementpatient experiencequalitative researchquality of life

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