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Migraine and risk of cardiovascular disease in men.

Abstract

BACKGROUND

The vascular component of the migraine-specific physiologic profile and the observed adverse cardiovascular risk profile in migraineurs suggest an association between migraine and cardiovascular disease (CVD). In women, migraine has been associated with increased risk of CVD, including coronary events. Compatible data in men are lacking.

METHODS

Prospective cohort study of 20 084 men aged 40 to 84 years participating in the Physicians' Health Study. In yearly questionnaires, men were asked for information on migraine, risk factors, and the occurrence of study end points. We classified men as having migraine if they indicated migraine during the first 5 years, after which time follow-up began. Information on aura was not available. All the men were free of CVD at the start of follow-up. During a mean of 15.7 years, we followed up participants for the occurrence of a first major CVD event (nonfatal ischemic stroke, nonfatal myocardial infarction, or death from ischemic CVD). We also evaluated the individual end points, coronary revascularization, and angina.

RESULTS

A total of 1449 men (7.2%) reported migraine, and during follow-up, 2236 major CVD events occurred. Compared with nonmigraineurs, men who reported migraine had multivariable-adjusted hazard ratios (95% confidence intervals) of 1.24 (1.06-1.46; P = .008) for major CVD, 1.12 (0.84-1.50; P = .43) for ischemic stroke, 1.42 (1.15-1.77; P<.001) for myocardial infarction, 1.05 (0.89-1.24; P = .54) for coronary revascularization, 1.15 (0.99-1.33; P = .068) for angina, and 1.07 (0.80-1.43; P = .65) for ischemic cardiovascular death.

CONCLUSION

In this large prospective cohort of apparently healthy men, migraine was associated with increased risk of major CVD, which was driven by increased risk of myocardial infarction.

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  • Authors+Show Affiliations

    ,

    Divisions of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02215, USA. tkurth@rics.bwh.harvard.edu

    , , , , ,

    Source

    Archives of internal medicine 167:8 2007 Apr 23 pg 795-801

    MeSH

    Adult
    Aged
    Aged, 80 and over
    Cardiovascular Diseases
    Cohort Studies
    Humans
    Male
    Middle Aged
    Migraine Disorders
    Myocardial Infarction
    Myocardial Revascularization
    Prospective Studies
    Stroke

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural

    Language

    eng

    PubMed ID

    17452542

    Citation

    Kurth, Tobias, et al. "Migraine and Risk of Cardiovascular Disease in Men." Archives of Internal Medicine, vol. 167, no. 8, 2007, pp. 795-801.
    Kurth T, Gaziano JM, Cook NR, et al. Migraine and risk of cardiovascular disease in men. Arch Intern Med. 2007;167(8):795-801.
    Kurth, T., Gaziano, J. M., Cook, N. R., Bubes, V., Logroscino, G., Diener, H. C., & Buring, J. E. (2007). Migraine and risk of cardiovascular disease in men. Archives of Internal Medicine, 167(8), pp. 795-801.
    Kurth T, et al. Migraine and Risk of Cardiovascular Disease in Men. Arch Intern Med. 2007 Apr 23;167(8):795-801. PubMed PMID: 17452542.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Migraine and risk of cardiovascular disease in men. AU - Kurth,Tobias, AU - Gaziano,J Michael, AU - Cook,Nancy R, AU - Bubes,Vadim, AU - Logroscino,Giancarlo, AU - Diener,Hans-Christoph, AU - Buring,Julie E, PY - 2007/4/25/pubmed PY - 2007/5/18/medline PY - 2007/4/25/entrez SP - 795 EP - 801 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 167 IS - 8 N2 - BACKGROUND: The vascular component of the migraine-specific physiologic profile and the observed adverse cardiovascular risk profile in migraineurs suggest an association between migraine and cardiovascular disease (CVD). In women, migraine has been associated with increased risk of CVD, including coronary events. Compatible data in men are lacking. METHODS: Prospective cohort study of 20 084 men aged 40 to 84 years participating in the Physicians' Health Study. In yearly questionnaires, men were asked for information on migraine, risk factors, and the occurrence of study end points. We classified men as having migraine if they indicated migraine during the first 5 years, after which time follow-up began. Information on aura was not available. All the men were free of CVD at the start of follow-up. During a mean of 15.7 years, we followed up participants for the occurrence of a first major CVD event (nonfatal ischemic stroke, nonfatal myocardial infarction, or death from ischemic CVD). We also evaluated the individual end points, coronary revascularization, and angina. RESULTS: A total of 1449 men (7.2%) reported migraine, and during follow-up, 2236 major CVD events occurred. Compared with nonmigraineurs, men who reported migraine had multivariable-adjusted hazard ratios (95% confidence intervals) of 1.24 (1.06-1.46; P = .008) for major CVD, 1.12 (0.84-1.50; P = .43) for ischemic stroke, 1.42 (1.15-1.77; P<.001) for myocardial infarction, 1.05 (0.89-1.24; P = .54) for coronary revascularization, 1.15 (0.99-1.33; P = .068) for angina, and 1.07 (0.80-1.43; P = .65) for ischemic cardiovascular death. CONCLUSION: In this large prospective cohort of apparently healthy men, migraine was associated with increased risk of major CVD, which was driven by increased risk of myocardial infarction. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/17452542/full_citation L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/10.1001/archinte.167.8.795 DB - PRIME DP - Unbound Medicine ER -