Evidence map›Paper›PMID 20736269›Full record

ArticleBMJ (Clinical research ed.)2010

Migraine with aura and risk of cardiovascular and all cause mortality in men and women: prospective cohort study.

Larus S Gudmundsson, Ann I Scher, Thor Aspelund, Jon H Eliasson, Magnus Johannsson, Gudmundur Thorgeirsson, Lenore Launer, Vilmundur Gudnason

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 2% 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

62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Migraine and mortality: a systematic review and meta-analysis.Cephalalgia : an international journal of headache · 2011
    Pooled it
  6. Trial
  7. Review
  8. Review
  9. Prevalence of migraine in Iceland.The journal of headache and pain · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Migraine in men.The journal of headache and pain · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Larus S GudmundssonDepartment of Pharmacology and Toxicology, University of Iceland, Hagi Hofsvallagata 53, IS-107 Reykjavik, Iceland. lsg@hi.is
Ann I Scher
Thor Aspelund
Jon H Eliasson
Magnus Johannsson
Gudmundur Thorgeirsson
Lenore Launer
Vilmundur Gudnason
University of Iceland · ISIcelandic Heart Association · ISNational University Hospital of Iceland · ISReykjavík University · IS

Funding

CLINICAL PROJECT: Age, Gene/Environment Susceptibility Study on the Multi-omics of Aging: A clinical epidemiologic prospective studyZIAAG007380 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2025
$6.1M
The impact of migraine on the aging brainZIAAG007260 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2011 to 2016
$249k
6 · The paper itself

Abstract

objectiveTo estimate whether migraine in mid-life is associated with mortality from cardiovascular disease, other causes, and all causes.

designPopulation based cohort study.

settingReykjavik, Iceland.

participants18,725 men and women, born 1907-35 and living in Reykjavik and adjacent communities.

main outcome measuresMortality from cardiovascular disease, non-cardiovascular disease, and all causes. Questionnaires and clinical measures were obtained in mid-life (mean age 53, range 33-81) in the Reykjavik Study (1967-91). Headache was classified as migraine without aura, migraine with aura, or non-migraine headache. Median follow-up was 25.9 years (0.1-40.2 years), with 470,990 person years and 10,358 deaths: 4323 from cardiovascular disease and 6035 from other causes. We used Cox regression to estimate risk of death in those with migraine compared with others, after adjusting for baseline risk factors.

resultsPeople with migraine with aura were at increased risk of all cause mortality (adjusted (for sex and multivariables) hazard ratio 1.21, 95% confidence interval 1.12 to 1.30) and mortality from cardiovascular disease (1.27, 1.13 to 1.43) compared with people with no headache, while those with migraine without aura and non-migraine headache were not. Further examination of mortality from cardiovascular disease shows that people with migraine with aura were at increased risk of mortality from coronary heart disease (1.28, 1.11 to 1.49) and stroke (1.40, 1.10 to 1.78). Women with migraine with aura were also at increased risk of mortality from non-cardiovascular disease (1.19, 1.06 to 1.35).

conclusionsMigraine with aura is an independent risk factor for cardiovascular and all cause mortality in men and women. The risk of mortality from coronary heart disease and stroke mortality is modestly increased in people with migraine, particularly those with aura.

Indexed as

AdultAgedAged, 80 and overCardiovascular DiseasesCause of DeathFemaleHumansIcelandMaleMiddle AgedMigraine with AuraProspective StudiesRisk FactorsSex Distribution

Identifiers

PMID20736269
PMCPMC2927696
OpenAlexW2050046463

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.