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[Migraine and acute myocardial infarction]
1Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid.
Neurologia (Barcelona, Spain)
|August 1, 1993
Summary
Migraine may be a risk factor for coronary disease. This study found migraine more frequent in acute myocardial infarction patients, suggesting a link between certain migraine types and heart conditions.
Area of Science:
- Cardiology
- Neurology
- Epidemiology
Background:
- The link between migraine and heart disease, specifically coronary disease, remains unclear.
- Some research suggests specific headaches may indicate myocardial ischemia.
Purpose of the Study:
- To investigate the relationship between migraine history and acute myocardial infarction (AMI).
- To explore cephalic responses during angina and to vasodilators in AMI patients with and without migraine history.
Main Methods:
- A protocol was applied to 40 consecutive acute myocardial infarction patients.
- Data collected included migraine history, headache during angina, and response to vasodilators.
- Results were compared to a control group.
Main Results:
- Migraine was more prevalent in acute myocardial infarction patients (25%) compared to controls (18.5%).
- Migraine onset was later and episodes more frequent in the AMI group.
- No specific ischemic headache was identified, and nitrite response was independent of migraine history.
Conclusions:
- Certain forms of migraine may be a risk factor for coronary disease.
- Further epidemiological studies are needed to understand the natural history of migraine in relation to cardiovascular health.