Valecha Jayesh, Khandait Harshwardhan, Sk Anagha, Gupta Vasu, Kumawat Sunita, Anamika Fnu, Jain Rohit, Dua Dharti
Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Trinitas Regional Medical Center/RWJ Barnabas Health, Elizabeth, NJ, USA.
Glob Cardiol Sci Pract. 2023 Aug 1;2023(3):e202320. doi: 10.21542/gcsp.2023.20.
Migraine is a common neurological disorder affecting 12% of the global population. The common risk factors are adolescent age, genetics, and female sex, and are triggered by hormonal fluctuations, emotional stress, sensory overload, weather changes, alcohol consumption, fasting, cheese, chocolate, smoked fish, yeast extract, cured meats, artificial sweeteners, food preservatives containing nitrates and nitrites, and sleep disturbances. Migraine with aura is associated with an increased risk of cardiovascular disease events, such as myocardial infarction, angina pectoris, and cardiac arrhythmias, and has recently been added to the QRISK3 cardiovascular disease prediction score. Population-based cohort studies have shown a significant association of migraine with aura and cardiac arrhythmias, most importantly atrial fibrillation. Patients suffering from migraine with aura are at an increased risk for cardiac arrhythmias; thus, it is essential to screen these patients for undiagnosed cardiovascular disorders.
偏头痛是一种常见的神经系统疾病，影响着全球12%的人口。常见的风险因素包括青少年时期、遗传因素和女性性别，其诱因有激素波动、情绪压力、感官超载、天气变化、饮酒、禁食、奶酪、巧克力、烟熏鱼、酵母提取物、腌肉、人工甜味剂、含硝酸盐和亚硝酸盐的食品防腐剂以及睡眠障碍。伴有先兆的偏头痛与心血管疾病事件风险增加相关，如心肌梗死、心绞痛和心律失常，最近已被纳入QRISK3心血管疾病预测评分中。基于人群的队列研究表明，伴有先兆的偏头痛与心律失常，尤其是房颤，存在显著关联。患有伴有先兆偏头痛的患者心律失常风险增加；因此，对这些患者进行未诊断心血管疾病的筛查至关重要。
