B1 Journal article

Electrocardiographic findings in migraineurs: results of the Finnish Health 2000 survey




List of Authors: Zaproudina Nina, Niiranen Teemu J., Anttila Verneri, Kallela Mikko

Publisher: WILEY

Publication year: 2021

Journal: Acta Neurologica Scandinavica

Journal name in source: ACTA NEUROLOGICA SCANDINAVICA

Journal acronym: ACTA NEUROL SCAND

Number of pages: 6

eISSN: 1600-0404

DOI: http://dx.doi.org/10.1111/ane.13511


Abstract
Background: The precise relation between migraine and cardiovascular diseases remains unknown, but cardiac autonomic regulation as reflected by electrocardiography is poorly studied in migraineurs.Aims of the Study: To search whether electrocardiographic findings may elucidate the mechanisms linking migraine with cardiovascular diseases.Methods: We compared electrocardiographic findings in headache-free subjects (n=5,317) and people with migraine (n=490) in a Finnish population cohort.Results: The frequency of cardiac rhythm and conduction disorders did not differ between the groups but left ventricular hypertrophy was more often seen in migraineurs than in non-migraineurs (odds ratio (OR)=1.32, 95% confidence interval (CI) 1.0; 1.74, p<0.05). In migraineurs reporting frequent attacks, cardiovascular diseases were associated with longer QTc intervals (p<0.05). After excluding confounders, migraineurs had longer PR intervals (160.3 vs 159.8 ms, mean difference (MD)=3.14, 95% CI 0.65; 5.62, p<0.05) than non-migraineurs. PR intervals (MD=6.6, CI 1.51; 11.68, p<0.05) and the probability of left ventricular hypertrophy (OR=1.98, CI 1.2; 3.26, p<0.05) were different in males with and without migraine, especially in patients with frequent attacks, but not in females.Conclusions: Our findings support the notion that there are interactions between migraine and cardiovascular disorders and suggest that electrocardiographic screening in migraineurs should be considered during clinical work-up.


Last updated on 2021-18-10 at 10:46