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Migraine with aura identified as independent risk factor for A-fib
Medical Xpress / HealthDay / Headache ^ | August 3, 2022 | Chia-Chun Chiang MD et al

Posted on 08/07/2022 9:55:22 PM PDT by ConservativeMind

Patients with migraine with aura (MwA) have significantly higher artificial intelligence-enabled electrocardiogram (AI-ECG) atrial fibrillation (AF) prediction model output, according to a study.

Chia-Chun Chiang, M.D., from the Mayo Clinic in Rochester, Minnesota, and colleagues compared AI-ECG AF prediction model output in adult patients with MwA and migraine without aura (MwoA). Adult patients with an MwA or MwoA diagnosis and at least one ECG with normal sinus rhythm within the past 20 years were identified. A total of 40,002 patients (17,840 with MwA and 22,162 with MwoA) were included in the final analysis.

The researchers found that compared with the MwoA group, the MwA group had significantly higher AF prediction model output (mean, 7.3 versus 5.6 percent). The difference between the MwA and MwoA groups remained significant after adjustment for vascular comorbidities in the overall group and among those aged 18 to <35 years and 35 to <55 years, women of all ages, men of all ages, women aged 35 to <55 years, and men aged 18 to <35 years.

"Our results suggest MwA is an independent risk factor for AF, especially in patients <55 years old, and that AF-mediated cardioembolism may play an important role in the migraine-stroke association," the authors write.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: aura; migraine
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It might be worth considering paying attention to any unusual heart beats you notice. We all get irregular heart beats, so do understand an actual Atrial Fibrillation diagnosis is a more serious situation one should be on top of.
1 posted on 08/07/2022 9:55:22 PM PDT by ConservativeMind
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To: Pete from Shawnee Mission; Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ...

The “Take Charge Of Your Health” Ping List

This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20% fewer pings) or “Everything” list.

2 posted on 08/07/2022 9:56:04 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Serious as a heart attack!


3 posted on 08/07/2022 10:08:49 PM PDT by Delta 21 (It started as a virus, and mutated into an IQ test.)
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To: ConservativeMind

My degree is in mathematics rather than medicine, but I’m pretty sure the way to avoid a fib is to stop making the next value in your sequence the sum of the most recent two values.


4 posted on 08/07/2022 10:11:00 PM PDT by AndyTheBear
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To: ConservativeMind

I had a PFO plugged following a scuba decompression hit.

The doc doing the fix mentioned closing the PFO had major benefit in helping prevent strokes.

Said the major indicator for PFO closure was migraine. I used to get aura, but never with migraine.

Still have A-fib. They keep wanting me to take an anti-coag stuff like warfarin, but that stuff almost crippled me.


5 posted on 08/07/2022 10:12:10 PM PDT by doorgunner69 (Let's go Brandon)
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To: doorgunner69

Why didn’t that need to be addressed while in childhood? I would have thought it would have been a problem for military service.


6 posted on 08/07/2022 10:15:41 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

You’re such a wealth of joy for me /sarc

But I gotta give you credit for the material you’re sharing. Really good stuff.


7 posted on 08/07/2022 10:17:34 PM PDT by Gene Eric (Don't be a statist!)
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To: doorgunner69
It looks like your operation decreased stroke risk more than anticoagulants:

https://medicalxpress.com/news/2018-07-experts-strongly-catheter-based-closure.html

8 posted on 08/07/2022 10:19:22 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: AndyTheBear

You can’t be series....


9 posted on 08/07/2022 10:21:04 PM PDT by Gene Eric (Don't be a statist!)
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To: ConservativeMind

had them for years and they went away ~ten years ago

i’ve now had 5 in the last three months...


10 posted on 08/07/2022 10:21:23 PM PDT by Chode (there is no fall back position, there's no rally point, there is no LZ... we're on our own. #FJB)
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To: doorgunner69
I used to get aura, but never with migraine.

I and my sister get visual aura, sometimes called visual migraine, but she has never had actual headaches.

I, on the other hand, experienced lateral migraines for about three years, beginning after my mother died in 2010. However, the visual aura was never associated, as far as I or my neurologist could tell, with a migraine. I experienced the last migraine pain in 2013. I still get the occasional visual aura.

11 posted on 08/07/2022 10:51:10 PM PDT by jimtorr
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The aura one experiences with a migraine is hard to describe, but those who've had it know it well.

IIRC, dilation of the blood vessels causes the visual anomalies.

A related FR post from 2015 Migraines triggered by protein deep in the brain
In their study, Akermand and Goadsby found that both VIP and PACAP caused blood vessels to dilate, but that this effect only lasted for about 10 minutes. And in the case of PACAP, the widening of blood vessels did not happen at the same time as the overactivity of neurons. In other words, the dilation of blood vessels doesn’t seem to have anything to do with migraine.

Regarding the studies, I'm not sure what to bank on; however, I rely on the aura as indicator of migraine onset. I'll take 2 Aleve (naproxen), and the symptoms are typically gone in 20 minutes. Without the suppression, the aura could last for hours. There are definite stages to the migraines I've experienced.

On the surface, this and the 2015 study seem to be at odds.

Migraines have been a life-long "headache" for me. Sucked having them as a kid — a 24 hour nightmare that didn't end until a few episodes of vomiting. I never wanted to get to that point, but I knew the Hell trip wouldn't end until then. So what's the related physiological side effects of vomiting? I never bothered to research -- no Internet back then.

12 posted on 08/07/2022 10:56:17 PM PDT by Gene Eric (Don't be a statist!)
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To: Chode

I’ve had many recently as well. And so has a friend. Hmmm...


13 posted on 08/07/2022 11:00:45 PM PDT by Gene Eric (Don't be a statist!)
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To: Gene Eric

I have occasional a-fib, and received a [LAD] stent five years ago.

After 40 years without migraines (MwA), I had five daily that finaly took me to the Emergency Room three days in a row!

Doc says in follow-up visit, I can take three doses of maximum Tylenol a day, but it was a potent injection at the ER that removed the worst pain I’ve ever had in my 79 years—and I’m a kidney stone sufferer!

In the earlier case—and the most rececent—it was a bright flash of light that initiated the MwA.


14 posted on 08/08/2022 1:09:47 AM PDT by Does so (https//youtu.be/3PxEWB6W8ig ......Uke's Independence Day Parade. Anthem starts at 15:00)
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To: Gene Eric

Migraines are a cousin of epilepsy.


15 posted on 08/08/2022 1:13:52 AM PDT by Does so (https//youtu.be/3PxEWB6W8ig ......Uke's Independence Day Parade. Anthem starts at 15:00)
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To: ConservativeMind

I started having migraines in my 39s and they continued until my early 60s. They can ruin your life.


16 posted on 08/08/2022 2:16:50 AM PDT by gattaca
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To: Does so

My son has both - and the triggers for both are the same (sunlight, lack of sleep, poor diet).

He is 20 now, but he switched to a modified keto diet 3 years ago which allowed him to go down to a low dose of seizure med and eliminated his migraines. I say modified because he does not eat enough to maintain his weight full keto, so he has 1-2 cheat days a week.


17 posted on 08/08/2022 3:03:31 AM PDT by LilFarmer
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To: Chode

Lived with them most of my life.

Nothing to do except tough them out in my case.

At times I have suspected a very mild epilepsy but the neurology crowd disagrees.


18 posted on 08/08/2022 3:32:44 AM PDT by wally_bert (I cannot be sure for certain, but in my personal opinion I am certain that I am not sure.)
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To: ConservativeMind
I had 5 migraine episodes in my early 20s and then a single episode 20 years later. Since then, I’ve experienced episodes of visual scotoma (aura) about 10-12 times a year. Usually there’s only a mild headache afterwards or even none at all, but I definitely feel tired and slightly disoriented for an hour or two. I’ve also noticed an association with eye strain, fatigue & dehydration.

I’m 68 with mild hypertension on medication and I’m also 20 lbs overweight. Recently my older daughter, 37, had her first episode while my younger daughter, 35, has had migraines for over 20 years, often with aura. I’m worried for their health in the future if this report turns out to be correct. However, it should be noted that this statement was at the end of the article: “Several authors disclosed financial ties to the pharmaceutical industry.”

After the last 2 years of Covid vaccine hysteria, I tend to discount most studies these days, especially when drug companies are involved. IJS...

19 posted on 08/08/2022 6:13:29 AM PDT by Prince of Space (Let’s Go, Brandon! )
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To: Gene Eric

I kant? I don’t subscribe to Kant, I’m a Cartesian Rationalist.


20 posted on 08/08/2022 6:16:35 AM PDT by AndyTheBear
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