Evidence map›Paper›PMID 27167136›Full record

ArticleThe journal of headache and pain2016

Autonomous control of cardiovascular reactivity in patients with episodic and chronic forms of migraine.

Oleg V Mamontov, Laura Babayan, Alexander V Amelin, Rashid Giniatullin, Alexei A Kamshilin

Abstract read
In one paragraph

Article in The journal of headache and pain, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Episodic Migraine and POTS.Current pain and headache reports · 2023
    Review
  5. Article
  6. Impairment on Cardiovascular Autonomic Modulation in Women with Migraine.International journal of environmental research and public health · 2022
    Article
  7. Do catastrophizing and autonomic-reduced flexibility mediate pain outcomes in chronic headache?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Ambulatory blood pressure abnormalities in children with migraine.Pediatric nephrology (Berlin, Germany) · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Oleg V MamontovAlmazov Federal Heart, Blood and Endocrinology Centre, St. Petersburg, Russia.
Laura BabayanPavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.
Alexander V AmelinPavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.
Rashid GiniatullinDepartment of Neurobiology, University of Eastern Finland, Kuopio, Finland.
Alexei A KamshilinDepartment of Computer Photonics and Videomatics, ITMO University, St. Petersburg, Russia. alexei.kamshilin@yandex.ru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe autonomous cardiovascular control can contribute to progression of migraine. However, current data on cardiovascular reactivity in migraine, especially severe forms, are essentially contradictory. The main aim of this study was to compare the autonomous regulation of circulation in patients with episodic and chronic migraine and healthy subjects.

methodsSeventy three migraine patients (mean age 35 ± 10) including episodic migraine (51 patients, 4-14 headache days/months) and chronic migraine (22 patients, ≥15 headache days/month) along with age-match control (71 healthy voluntaries) were examined. The autonomic regulation of circulation was examined with the tilt-table test, a deep breathing and Valsalva Maneuver, handgrip test, cold-stress vasoconstriction, arterial baroreflex and blood pressure variability.

resultsThe changes in heart rate induced by deep breathing, Valsalva Maneuver, and blood pressure in tilt-table test in patients with migraine did not differ from the control group. In contrast, the values of cold-stress-vasoconstriction forearm blood-flow reactivity (p <0.001), the increase in diastolic blood pressure in handgrip test (p <0.001), mean blood pressure in the late stage of the second phase of Valsalva Maneuver (p <0.001) and blood pressure variability (p <0.005) were all higher in patients with migraine than in the control group.

conclusionThus, both episodic and chronic migraine are associated with significant disturbances in autonomous control resulting in enhanced vascular reactivity whereas the cardiac regulation remains largely unchanged.

Indexed as

Valsalva ManeuverVasoconstrictionAdultAutonomic Nervous SystemBlood PressureCardiovascular SystemDisease ProgressionFemaleHeart RateHumansMaleMiddle AgedMigraine DisordersTilt-Table Test

Identifiers

PMID27167136
PMCPMC4864743

What OpenQuestion holds

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Registered trials

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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.