Flow in the left anterior descending coronary artery in patients with migraine headache

The American Journal of Cardiology
Gamze AslanHaldun Muderrisoglu

Abstract

Migraine is a common neurovascular disorder characterized by attacks of severe headache, autonomic and neurologic symptoms. Migraine can affect many systems in the body, yet its effects on cardiovascular system are unclear. We hypothesized that migraine and coronary microvascular angina may be manifestations of a common systemic microvascular dysfunction and clinically associated. Forty patients with migraine and 35 healthy volunteers were included into the study. Using transthoracic Doppler echocardiography, coronary flow was visualized in the middle or distal part of the left anterior descending artery. Coronary diastolic peak flow velocities were measured with pulse wave Doppler at baseline and after dipyridamole infusion (0.56 mg/kg/4 min). Coronary flow reserve of <2 was considered normal. In addition, thorough 2-dimensional and Doppler echocardiographic examinations were also performed. Fifty-two women and 23 men were included. Coronary flow reserve was significantly lesser in the migraine group than in the control group (1.99 ± 0.3 vs 2.90 ± 0.5, p <0.05). In addition, mitral annular velocities were lower and the ratio of early mitral inflow velocity to early mitral annular velocity (E/E' lateral and E/E' septal) was hig...Continue Reading

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Citations

May 27, 2015·Maturitas·Suzette E Elias-SmaleAngela H E M Maas
Jul 18, 2016·International Journal of Cardiology·Petr A Sarapultsev, Alexey P Sarapultsev
Jan 31, 2015·Indian Heart Journal·S R Mittal
Jun 16, 2018·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Stefano ViolaPasqualino Litterio
May 16, 2017·The International Journal of Cardiovascular Imaging·Hernán Mejía-RenteríaJavier Escaned
Jan 6, 2021·Headache·Ioannis LiampasEfthimios Dardiotis
Jan 27, 2021·Journal of Neurology, Neurosurgery, and Psychiatry·Jason Charles RayElspeth Jane Hutton

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