Evidence map›Paper›PMID 20147658›Full record

ArticleNeurology2010

Migraine and cardiovascular disease: a population-based study.

M E Bigal, T Kurth, N Santanello, D Buse, W Golden, M Robbins, R B Lipton

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 147 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 7 pooled it
18.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 7 syntheses or guidelines pooled it, 359 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Association between migraine and risk of stroke: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  4. Association between migraine and cognitive impairment.The journal of headache and pain · 2022
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Migraine and mortality: a systematic review and meta-analysis.Cephalalgia : an international journal of headache · 2011
    Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review

87 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

M E Bigal1 Merck Dr., PO Box 100, Whitehouse Station, NJ 08889-0100, USA. marcelo_bigal@merck.com
T Kurth
N Santanello
D Buse
W Golden
M Robbins
R B Lipton
Brigham and Women's Hospital · USAlbert Einstein College of Medicine · US

Funding

Vascular Structure and Function in Cognitive AgingP01AG003949 · NIA · YESHIVA UNIVERSITY · PI Charles B Hall · 1985 to 2026
$73.9M
STATISTICS AND DATA MANAGEMENT COREP01AG027734 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BARZILAI, NIR J · 2007 to 2012
$9.3M
Latent Mobility Abnormalities And FrailtyR01AG025119 · NIA · ALBERT EINSTEIN COL OF MED YESHIVA UNIV · PI VERGHESE, JOE · 2005 to 2009
$1.5M
Restless Legs Syndrome, Cardiovascular Risk Factors, and Cardiovascular EventsR01HL091880 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI KURTH, TOBIAS · 2008 to 2010
$1.1M
Gender and Hormonal Differences in Parkinson's DiseaseK23NS047256 · NINDS · BETH ISRAEL MEDICAL CTR (NEW YORK) · PI SAUNDERS-PULLMAN, RACHEL · 2004 to 2008
$869k
Predictors of Gait and Falls in Aging: Linking Cognitive Control to GenesK23AG030857 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI HOLTZER, ROEE · 2007 to 2011
$841k
Whole Genome Association Study of Migraine in WomenR01NS061836 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI KURTH, TOBIAS, ZEE, ROBERT YUK LUNG · 2008 to 2010
$742k
NHLBI NIH HHS HL091880-01NIA NIH HHS K23AG030857NIA NIH HHS P01AG027734NIA NIH HHS P01AG03949NIA NIH HHS R01AG25119NINDS NIH HHS K23NS05140901A1NINDS NIH HHS K23NS47256NINDS NIH HHS NS061836-01
6 · The paper itself

Abstract

objectivesAlthough the relationship between migraine and cardiovascular disease (CVD) has been studied, several questions remain unanswered. Herein we contrast the rate of diagnosed CVD as well as of risk factors for CVD in individuals with migraine with and without aura (MA and MO) and in controls.

methodsIn this case-control study, migraineurs (n = 6,102) and controls (n = 5,243) were representative of the adult US population. Headache diagnosis was formally assigned using a validated mailed questionnaire which also obtained details on treatment, comorbidities, and other variables. CVD events were obtained based on self-reported medical diagnosis. Risk factors for CVD and modified Framingham scores were computed.

resultsIn unadjusted analyses, migraine overall and MA were associated with myocardial infarction, stroke, and claudication, and MO was associated with myocardial infarction and claudication. Migraineurs were more likely than controls to have a medical diagnosis of diabetes (12.6% vs 9.4%, odds ratio [OR] 1.4, 95% confidence interval [CI] 1.2-1.6), hypertension (33.1% vs 27.5%, OR 1.4, 95% CI 1.3-1.6), and high cholesterol (32.7% vs 25.6%, OR 1.4, 95% CI 1.3-1.5). Risk was highest in MA, but remained elevated in MO. Framingham scores were significantly higher in MO and MA than in controls. After adjustments (gender, age, disability, treatment, CVD risk factors), migraine remained significantly associated with myocardial infarction (OR 2.2, 95% CI 1.7-2.8), stroke (OR 1.5, 95% CI 1.2-2.1), and claudication (OR 2.69, 95% CI 1.98-3.23).

conclusionBoth migraine with and without aura are associated with cardiovascular disease (CVD) and with risk factors for CVD. However, since our sample size is large, the clinical relevance of the differences is yet to be established.

Indexed as

AdolescentAdultAgedCardiovascular DiseasesCase-Control StudiesComorbidityConfidence IntervalsDiabetes MellitusFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedMigraine with AuraMigraine without Aura

Identifiers

PMID20147658
PMCPMC3462501
OpenAlexW2075315440

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.