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偏头痛治疗在血管疾病中的风险或缺乏。

The Risks or Lack Thereof of Migraine Treatments in Vascular Disease.

机构信息

Institute for Medical Informatics, Biometry and Epidemiology, Medical Faculty of the University Duisburg-Essen, Essen, Germany.

出版信息

Headache. 2020 Mar;60(3):649-653. doi: 10.1111/head.13749. Epub 2020 Jan 22.

Abstract

PREMISES

Patients with migraine have a co-morbidity with vascular diseases such as hypertension, coronary heart disease, and stroke.

PROBLEM

This overview gives recommendations for the therapy of acute migraine attacks and for migraine  prevention in patients with vascular diseases. In particular, the use of triptans in patients with vascular diseases is discussed.

POTENTIAL SOLUTIONS

Currently, there is a contraindication for the use of the triptans in patients with vascular disease, although there is no evidence that triptans increase the risk of heart attacks or stroke.

摘要

前提

偏头痛患者伴有高血压、冠心病和中风等血管疾病的合并症。

问题

本综述为血管疾病患者的急性偏头痛发作治疗和偏头痛预防提供了建议。特别是讨论了血管疾病患者使用曲坦类药物的问题。

潜在解决方案

目前,血管疾病患者使用曲坦类药物存在禁忌,尽管没有证据表明曲坦类药物会增加心脏病发作或中风的风险。

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