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先天性心脏病:评估卵圆孔未闭与偏头痛之间关联的“难题”。

Congenital heart conditions: the 'headache' of assessing a link between PFO and migraine.

机构信息

Section of Adult Congenital and Adult Heart Disease, Cardiovascular Diagnosis and Endoluminal Interventions, Rovigo General Hospital, Via W. A. Mozart 9, 37040 Legnago, Verona, Italy.

出版信息

Nat Rev Cardiol. 2010 Jul;7(7):361-2. doi: 10.1038/nrcardio.2010.73.

DOI:10.1038/nrcardio.2010.73
PMID:20577294
Abstract

The relationship between patent foramen ovale and migraine is a hotly debated issue. Conflicting data on the association or independence of these conditions have been reported by various study groups around the world. Now, a large-scale case-control study has shown no association between the two entities; however, there were a number of methodological flaws in this study and we are unlikely to see the end of the controversy in the near future.

摘要

卵圆孔未闭与偏头痛之间的关系是一个备受争议的问题。世界各地的不同研究小组报告了关于这些病症之间存在关联或独立的相互矛盾的数据。现在,一项大规模的病例对照研究表明这两者之间没有关联;然而,这项研究存在许多方法学上的缺陷,我们不太可能在近期看到争议的结束。

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Congenital heart conditions: the 'headache' of assessing a link between PFO and migraine.先天性心脏病:评估卵圆孔未闭与偏头痛之间关联的“难题”。
Nat Rev Cardiol. 2010 Jul;7(7):361-2. doi: 10.1038/nrcardio.2010.73.
2
Lack of association between migraine headache and patent foramen ovale: results of a case-control study.偏头痛与卵圆孔未闭之间缺乏关联:一项病例对照研究的结果。
Circulation. 2010 Mar 30;121(12):1406-12. doi: 10.1161/CIRCULATIONAHA.109.895110. Epub 2010 Mar 15.
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No Relationship Between Patent Foramen Ovale and Migraine Frequency.卵圆孔未闭与偏头痛发作频率无关。
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Patent foramen ovale and migraine: a quantitative systematic review.卵圆孔未闭与偏头痛:一项定量系统评价
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Migraine and patent foramen ovale: connecting flight or one-way ticket?偏头痛与卵圆孔未闭:是转机航班还是单程机票?
Expert Rev Neurother. 2008 Sep;8(9):1331-7. doi: 10.1586/14737175.8.9.1331.
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Patent foramen ovale and migraine attacks: a systematic review.卵圆孔未闭与偏头痛发作:系统综述。
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Frequency of Patent Foramen Ovale and Migraine in Patients With Cryptogenic Stroke.卵圆孔未闭与不明原因脑卒中患者偏头痛的频率。
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引用本文的文献

1
Prevalence of cardiac right left shunts in migraine: a population-based case-control study.偏头痛患者心脏右向左分流的患病率:一项基于人群的病例对照研究。
Neurol Sci. 2013 Feb;34(2):205-8. doi: 10.1007/s10072-012-0986-0. Epub 2012 Feb 25.

本文引用的文献

1
Intracranial embolism characteristics in PFO patients: a comparison between positive and negative PFO by transesophageal echocardiography: the rule of nine.卵圆孔未闭(PFO)患者的颅内栓塞特征:经食管超声心动图检测PFO阳性与阴性患者的比较:九分法
J Neurol Sci. 2010 Jun 15;293(1-2):106-9. doi: 10.1016/j.jns.2010.02.003. Epub 2010 Apr 2.
2
Primary transcatheter patent foramen ovale closure is effective in improving migraine in patients with high-risk anatomic and functional characteristics for paradoxical embolism.经导管原发卵圆孔未闭封堵术对于具有反常栓塞高危解剖学和功能特征的偏头痛患者,可有效改善偏头痛。
JACC Cardiovasc Interv. 2010 Mar;3(3):282-7. doi: 10.1016/j.jcin.2009.11.019.
3
Lack of association between migraine headache and patent foramen ovale: results of a case-control study.
偏头痛与卵圆孔未闭之间缺乏关联:一项病例对照研究的结果。
Circulation. 2010 Mar 30;121(12):1406-12. doi: 10.1161/CIRCULATIONAHA.109.895110. Epub 2010 Mar 15.
4
Microemboli may link spreading depression, migraine aura, and patent foramen ovale.微栓子可能将扩散性抑制、偏头痛先兆和卵圆孔未闭联系起来。
Ann Neurol. 2010 Feb;67(2):221-9. doi: 10.1002/ana.21871.
5
Transcranial Doppler and transesophageal echocardiography: comparison of both techniques and prospective clinical relevance of transcranial Doppler in patent foramen ovale detection.经颅多普勒与经食管超声心动图:两种技术的比较及经颅多普勒在卵圆孔未闭检测中的前瞻性临床意义。
J Stroke Cerebrovasc Dis. 2009 Sep-Oct;18(5):343-8. doi: 10.1016/j.jstrokecerebrovasdis.2008.12.001.
6
Left atrial dysfunction in patients with patent foramen ovale and atrial septal aneurysm: an alternative concurrent mechanism for arterial embolism?卵圆孔未闭和房间隔瘤患者的左心房功能障碍:动脉栓塞的另一种并发机制?
JACC Cardiovasc Interv. 2009 Jul;2(7):655-62. doi: 10.1016/j.jcin.2009.05.010.
7
Migraine-patent foramen ovale connection: role of prominent eustachian valve and large Chiari network in migrainous patients.
Am J Med Sci. 2008 Dec;336(6):458-61. doi: 10.1097/MAJ.0b013e31816e189d.
8
Is migraine a lateralization defect?偏头痛是一种偏侧化缺陷吗?
Neuroreport. 2008 Aug 27;19(13):1351-3. doi: 10.1097/WNR.0b013e32830c4698.
9
The role of cardiac and pulmonary pathology in migraine: a hypothesis.心脏和肺部病理学在偏头痛中的作用:一种假说。
Headache. 2006 Mar;46(3):429-34. doi: 10.1111/j.1526-4610.2006.00374.x.
10
Different degrees of right-to-left shunting predict migraine and stroke: data from 420 patients.不同程度的右向左分流可预测偏头痛和中风:来自420例患者的数据。
Neurology. 2006 Mar 14;66(5):765-7. doi: 10.1212/01.wnl.0000201271.75157.5a.