Evidence map›Paper›PMID 36494651›Full record

ArticleCardiovascular diabetology2022

Associations between migraine and major cardiovascular events in type 2 diabetes mellitus.

Dae Young Cheon, Kyungdo Han, Ye Seul Yang, Yerim Kim, Sang-Hwa Lee, Chulho Kim, Jong-Hee Sohn, Mi Sun Oh, Byung-Chul Lee, Minwoo Lee and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Observational
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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

11 authors at 6 institutions in 1 country.

Dae Young Cheon *Division of Cardiology, Department of Internal Medicine, Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Kyungdo Han *Department of Statistics and Actuarial Science, Soongsil University, Seoul, Korea.
Ye Seul YangDepartment of Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Yerim KimDepartment of Neurology, Kangdong Sacred Heart Hospital, Seoul, Korea.
Sang-Hwa LeeDepartment of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Chulho KimDepartment of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Jong-Hee SohnDepartment of Neurology, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Mi Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Minwoo LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea. neuromlee@hallym.or.kr.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea. ykh1030@hallym.or.kr.
Hallym University Sacred Heart Hospital · KRHallym University Chuncheon Sacred Heart Hospital · KRHallym University Dongtan Sacred Heart Hospital · KRKangdong Sacred Heart Hospital · KRSeoul National University · KRSoongsil University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigraine is one of the most common primary headache disorders and a well-known risk factor for cardiovascular disorders. We aimed to investigate the association between migraine and major cardiovascular outcomes, including myocardial infarction (MI), ischemic stroke (IS), and cardiovascular death (CVD) in people with type 2 diabetes. RESEARCH DESIGN AND

methodsA total of 2,229,598 people from the nationwide Korean National Health Insurance Service database with type 2 diabetes but without a previous history of MI and IS were included in this study. We identified patients over 20 years of age with migraine using the claim data of International Statistical Classification of Diseases Related Health Problems, Tenth Revision (ICD-10) code G43. The patients with migraine were divided according to their migraine aura status.

resultsMigraine was present in 6.3% of the study population. Cases observed for MI, IS, CVD, and all-cause death were 2.6%, 3.6%, 5.9%, and 7.9%, respectively. The diagnosis of migraine was significantly associated with an increased risk of MI, IS, and CVD. The results remained significant after adjusting for covariates, including age, sex, body mass index, alcohol intake, smoking habits, physical activity, economic status, hypertension history, dyslipidemia, and duration of type 2 diabetes (MI, adjusted hazard ratio [aHR]: 1.182, 95% confidence interval [CI]: 1.146-1.219; IS, aHR: 1.111, 95% CI 1.082-1.14; CVD, aHR: 1.143, 95% CI 1.12-1.167). In particular, the presence of aura was associated with a higher risk of MI development compared to the non-aura group. The difference became more prominent with progressing age.

conclusionsIn this nationwide population-based study, people with type 2 diabetes and migraines were found to be at a significantly higher risk for major cardiovascular events, including MI, IS, and CVD. The risk of MI and CVD significantly increased with the presence of aura symptoms among patients with migraine.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Migraine with AuraMyocardial InfarctionStrokeAdultHumansProportional Hazards ModelsRisk FactorsCardiovascular deathDiabetes mellitusMigraineMyocardial infarctionStroke

Identifiers

PMID36494651
PMCPMC9737987
OpenAlexW4311664371

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LicenceCC BY
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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.