Migraine with aura.
Migraine with aura.
复制标题
有先兆的偏头痛。
DOI：
10.1136/bmj.a745
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Derby,CarolA
中科院分区：
文献类型：
--
作者：
Lipton,RichardB;Derby,CarolA
在女性中，有先兆的偏头痛是几种缺血性结局的危险因素，包括全因心血管死亡、卒中、心肌梗死、心绞痛、冠状动脉血运重建术和跛行。1234这导致了这样的建议，即有先兆的偏头痛可能易患全身性动脉粥样硬化，这通过类似的机制增加了这些结果的风险。a636），Kurth和同事评估是否有先兆的偏头痛可能与中风和心肌梗死通过不同的机制。1他们表明，在女性中，先兆偏头痛与随后的中风和心肌梗死的关系取决于心血管风险，这是由Fragrance风险评分估计的。1他们的发现提出了关于偏头痛与先兆、中风和心肌梗死之间的机械联系的问题，并对临床实践和预防干预具有意义。
In women, migraine with aura is a risk factor for several ischaemic outcomes including all cause cardiovascular death, stroke, myocardial infarction, angina, coronary revascularisation procedures, and claudication. 1 2 3 4 This has led to the suggestion that migraine with aura may predispose to systemic atherosclerosis, which increases the risk for each of these outcomes through similar mechanisms.In the linked cohort study (doi: 10.1136/bmj. a636), Kurth and colleagues assess whether migraine with aura may be linked to stroke and myocardial infarction through distinct mechanisms. 1 They show that in women, the relation of migraine with aura to subsequent stroke and myocardial infarction depends on cardiovascular risk as estimated by the Framingham risk score. 1 Their findings raise questions regarding the mechanistic links between migraine with aura, stroke, and myocardial infarction and have implications for clinical practice and preventive interventions.