December 8, 2021


Only The Finest Women

Target young women with migraine for increased cardiovascular risk prevention

September 13, 2021

2 min study


Lundberg GP. Hyperlink Concerning Migraine & CVD Implications for Administration. Presented at: Coronary heart in Diabetes Annual Meeting Sept. 10-12, 2021 (hybrid meeting).

Disclosures: &#13
Lundberg studies no suitable financial disclosures. &#13

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Women of all ages with migraine headaches really should get specific atherosclerotic cardiovascular sickness prevention, together with consideration to safer contraception and risk-free menopausal hormone treatment, commencing in younger adulthood, according to a speaker.

Migraine headache is associated with greater cardiovascular mortality, and researchers have identified constructive associations for migraine with myocardial infarction, ischemic stroke, venous thromboembolism, atrial fibrillation/atrial flutter and hemorrhagic stroke, Gina P. Lundberg, MD, clinical director of the Emory Women’s Heart Centre and affiliate professor of medicine at Emory University College of Medicine, said during her presentation. The association with stroke is stronger for migraine with vs. with no aura, and the American Heart Affiliation and American Stroke Affiliation guideline for avoidance of stroke in girls lists migraine with aura as a hazard variable stroke that is extra frequently viewed in gals than males.

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Females with migraine complications really should obtain specific atherosclerotic cardiovascular condition prevention, together with notice to safer contraception and safe and sound menopausal hormone therapy, starting in youthful adulthood. Resource: Adobe Inventory&#13

“Migraine headache influences women 4 instances additional often than guys … most usually in the reproductive decades, and 50{3a94529b2b68d99beac25dca5c1678936e723415472492fb18744b4f77d809a2} of females report an association with menstruation,” Lundberg explained. “Men with migraine head aches frequently report androgen deficiency as well, so there would seem to be a sturdy hormone link.”

Gina Lundberg

Gina P. Lundberg

Oral contraceptive drugs that comprise estrogen may possibly increase stroke chance with migraine, Lundberg reported. Lower-dose hormonal or other contraceptives that reduce that threat may well be preferred for gals with migraine.

Lundberg also recommends transdermal estradiol and micronized progesterone or vaginal estrogen cream for significant-threat women approved menopausal hormone remedy.

Inspite of handful of experiments supporting behavioral interventions, females with migraine often report improved good quality of daily life with smoking cessation, amplified bodily exercise, biofeedback for strain administration and avoidance of triggers, these types of as worry, hunger, deficiency of rest and hormones, when probable, Lundberg mentioned.

Health-related therapies are the primary management resource for migraine, commencing with an NSAID. Despite the fact that triptans have been popular in dealing with migraine, these brokers can be vasoconstrictive and need to be avoided for use by women with sizeable possibility variables for ASCVD, Lundberg stated. A more recent drug courses for treating migraine, gepants, are not involved with adverse CV outcomes and may possibly be safer for sufferers with significant CV possibility.

“The massive takeaway is that females with migraine headache must be viewed closely for hazard of heart ailment and carry out healthful lifestyle techniques to minimize cardiovascular risk aspects,” Lundberg told Healio.

“It is critical to establish females at larger danger for ASCVD so the suitable preventive measures can be carried out and the faster the superior,” Lundberg stated. “Women with migraine problems need to have consideration to way of life, hypertension, lipids, cigarette smoking and weight problems at plan wellness visits and counseling on safer delivery regulate and menopause hormone treatment.”