Institute for Medical Informatics, Biometry and Epidemiology, Medical Faculty of the University Duisburg-Essen, Essen, Germany.
Headache. 2020 Mar;60(3):649-653. doi: 10.1111/head.13749. Epub 2020 Jan 22.
Patients with migraine have a co-morbidity with vascular diseases such as hypertension, coronary heart disease, and stroke.
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.
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.
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。
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。
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。