Luckily my migraines were in my thirties and never had an aura. Stress from being a manager at work.
Later Onset of Migraine With Aura Linked to Higher Stroke Risk
Age of onset of migraine with aura is important when assessing stroke risk in older patients, according to a study published in Headache.
While the Atherosclerosis Risk in Communities study showed that migraine with aura was associated with an increased risk of ischaemic stroke, the current post hoc analysis revealed that this risk was only present when onset occurred in patients aged ≥50 years.
For the study, X. Michelle Androulakis, MD, University of South Carolina, Columbia, South Carolina, and colleagues analysed 11,592 patients. The cohort was comprised of 447 patients with migraine with aura, 1,128 patients with migraine without aura, and 10,017 patients with no headache.
Over 20 years, the researchers found that there was an association between the age of migraine with aura onset ≥50 years and ischaemic stroke when compared with patients with no headache (hazard ratio = 2.17; 95% confidence interval, 1.39-3.39; P< .001).
Migraine with aura onset <50 years was not associated with stroke, and neither was migraine without aura regardless of the age of onset.
The study ultimately found that the absolute risk for stroke in migraine with aura is 8.27% and 4.25% in migraine without aura.
“Clinically, this is very meaningful, as many individuals with a long history of migraine are concerned about their stroke risk, especially when they get older and have other cardiovascular disease risks,” concluded Dr. Androulakis.
Reference: http://dx.doi.org/10.1111/head.13468
SOURCE: Wiley
While the Atherosclerosis Risk in Communities study showed that migraine with aura was associated with an increased risk of ischaemic stroke, the current post hoc analysis revealed that this risk was only present when onset occurred in patients aged ≥50 years.
For the study, X. Michelle Androulakis, MD, University of South Carolina, Columbia, South Carolina, and colleagues analysed 11,592 patients. The cohort was comprised of 447 patients with migraine with aura, 1,128 patients with migraine without aura, and 10,017 patients with no headache.
Over 20 years, the researchers found that there was an association between the age of migraine with aura onset ≥50 years and ischaemic stroke when compared with patients with no headache (hazard ratio = 2.17; 95% confidence interval, 1.39-3.39; P< .001).
Migraine with aura onset <50 years was not associated with stroke, and neither was migraine without aura regardless of the age of onset.
The study ultimately found that the absolute risk for stroke in migraine with aura is 8.27% and 4.25% in migraine without aura.
“Clinically, this is very meaningful, as many individuals with a long history of migraine are concerned about their stroke risk, especially when they get older and have other cardiovascular disease risks,” concluded Dr. Androulakis.
Reference: http://dx.doi.org/10.1111/head.13468
SOURCE: Wiley
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