Migraine and other headaches - Associations with Rose angina and coronary heart disease

被引:74
作者
Rose, KM
Carson, AP
Sanford, CP
Stang, PE
Brown, CA
Folsom, AR
Szklo, M
机构
[1] Univ N Carolina, Dept Epidemiol, Cardiovasc Dis Program, Sch Publ Hlth, Chapel Hill, NC 27514 USA
[2] N Carolina Dept Hlth & Human Serv, Raleigh, NC USA
[3] Galt Assoc Inc, Blue Bell, PA USA
[4] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA
[5] Univ Minnesota, Sch Publ Hlth, Div Epidemiol, Minneapolis, MN 55455 USA
[6] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA
关键词
D O I
10.1212/01.WNL.0000147289.50605.DC
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To examine the association between a lifetime history of migraines and other headaches with and without aura and Rose angina and coronary heart disease (CHD). Methods: Participants were 12,409 African American and white men and women from the Atherosclerosis Risk in Communities Study, categorized by their lifetime history of headaches lasting greater than or equal to4 hours (migraine with aura, migraine without aura, other headaches with aura, other headaches without aura, no headaches). Gender-specific associations of headaches with Rose angina and CHD, adjusted for sociodemographic and cardiovascular disease risk factors, were evaluated using Poisson regression. Results: Participants with a history of migraines and other headaches were more likely to have a history of Rose angina than those without headaches. The associations were stronger for migraine and other headaches with aura (prevalence ratio [PR] = 3.0, 95% CI = 2.4, 3.7 and PR = 2.0, 95% CI = 1.5, 2.7 for women; PR = 2.2, 95% CI = 1.2, 3.9 and PR = 2.4, 95% CI = 1.4, 3.9 for men) than for migraine and other headaches without aura (PR = 1.5, 95% CI = 1.2, 1.9 and PR = 1.3, 95% CI = 1.1, 1.6 for women; PR = 1.9, 95% CI = 1.2, 2.9 and OR = 1.4, 95% CI = 1.0, 1.8 for men). In contrast, migraine and other headaches were not associated with CHD, regardless of the presence of aura. Conclusions: The lack of association of migraines with coronary heart disease suggests that the association of migraine with Rose angina is not related to coronary artery disease. Future research assessing other common underlying pathologic mechanisms is warranted.
引用
收藏
页码:2233 / 2239
页数:7
相关论文
共 49 条
[31]  
ROSANO GMC, 1994, ANGINA PECTORIS NORM
[32]   ISCHEMIC HEART-DISEASE - CHEST PAIN QUESTIONNAIRE [J].
ROSE, GA .
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY, 1965, 43 (02) :32-39
[33]   The endothelium in coronary artery disease [J].
Ruschitzka, FT ;
Noll, G ;
Luscher, TF .
CARDIOLOGY, 1997, 88 :3-19
[34]   Migraine without aura and migraine with aura are distinct clinical entities: A study of four hundred and eighty-four male and female migraineurs from the general population [J].
Russell, MB ;
Rasmussen, BK ;
Fenger, K ;
Olesen, J .
CEPHALALGIA, 1996, 16 (04) :239-245
[35]   INCREASED FAMILIAL RISK AND EVIDENCE OF GENETIC-FACTOR IN MIGRAINE [J].
RUSSELL, MB ;
OLESEN, J .
BRITISH MEDICAL JOURNAL, 1995, 311 (7004) :541-544
[36]  
SAS, 1989, STAT AN SYST VERS 8
[37]   FLUNARIZINE IN PROPHYLAXIS OF CHILDHOOD MIGRAINE - A DOUBLE-BLIND, PLACEBO-CONTROLLED, CROSSOVER STUDY [J].
SORGE, F ;
DESIMONE, R ;
MARANO, E ;
NOLANO, M ;
OREFICE, G ;
CARRIERI, P .
CEPHALALGIA, 1988, 8 (01) :1-6
[38]   Repeatability and validity of the rose questionnaire for angina pectoris in the atherosclerosis risk in communities study [J].
Sorlie, PD ;
Cooper, L ;
Schreiner, PJ ;
Rosamond, W ;
Szklo, M .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1996, 49 (07) :719-725
[39]   Relationship of migraine headaches to experience of chest pain and subsequent risk for myocardial infarction [J].
Sternfeld, B ;
Stang, P ;
Sidney, S .
NEUROLOGY, 1995, 45 (12) :2135-2142
[40]   PREVALENCE OF MIGRAINE HEADACHE IN THE UNITED-STATES - RELATION TO AGE, INCOME, RACE, AND OTHER SOCIODEMOGRAPHIC FACTORS [J].
STEWART, WF ;
LIPTON, RB ;
CELENTANO, DD ;
REED, ML .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (01) :64-69