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Prevalence of Atrial Septal Aneurysm in Patients With Migraine: An Echocardiographic Study.

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Title: Prevalence of Atrial Septal Aneurysm in Patients With Migraine: An Echocardiographic Study.
Authors: Carerj, S., Narbone, M. C., Zito, C., Serra, S., Coglitore, S., Pugliatti, P., Luzza, F., Arrigo, F., Oreto, G.
Source: Headache: The Journal of Head & Face Pain. Jul2003, Vol. 43 Issue 7, p725-728. 4p.
Subjects: Aneurysms, Migraine, Echocardiography, Ischemia
Abstract: Objective.-To evaluate the prevalence of atrial septal aneurysm in patients with migraine. Background.-Migraine has long been considered a risk factor for stroke. Atrial septal aneurysm is often observed in young patients with ischemic stroke and is frequently associated with other conditions potentially leading to embolism. Methods.-We performed a transthoracic echocardiogram in 90 consecutive patients (65 women and 25 men; mean age, 35.3 years [standard deviation, 9]) with migraine but free from cerebral and cardiovascular disease and in 53 control subjects (37 women and 16 men; mean age, 34 years [standard deviation, 10]). The diagnosis of atrial septal aneurysm was performed according to Olivares-Reyes criteria. A transesophageal echocardiogram also was performed in 75 patients with migraine (83.3%). Results.-The prevalence of isolated atrial septal aneurysm was higher in patients with migraine with aura (28.5%) than in patients with migraine without aura (3.6%) (P < .005) or in control subjects (1.9%) (P < .005). Conclusions.-Our data suggest a role of atrial septal aneurysm in the genesis of aura in patients with migraine. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Objective.-To evaluate the prevalence of atrial septal aneurysm in patients with migraine. Background.-Migraine has long been considered a risk factor for stroke. Atrial septal aneurysm is often observed in young patients with ischemic stroke and is frequently associated with other conditions potentially leading to embolism. Methods.-We performed a transthoracic echocardiogram in 90 consecutive patients (65 women and 25 men; mean age, 35.3 years [standard deviation, 9]) with migraine but free from cerebral and cardiovascular disease and in 53 control subjects (37 women and 16 men; mean age, 34 years [standard deviation, 10]). The diagnosis of atrial septal aneurysm was performed according to Olivares-Reyes criteria. A transesophageal echocardiogram also was performed in 75 patients with migraine (83.3%). Results.-The prevalence of isolated atrial septal aneurysm was higher in patients with migraine with aura (28.5%) than in patients with migraine without aura (3.6%) (P < .005) or in control subjects (1.9%) (P < .005). Conclusions.-Our data suggest a role of atrial septal aneurysm in the genesis of aura in patients with migraine. [ABSTRACT FROM AUTHOR]
ISSN:00178748
DOI:10.1046/j.1526-4610.2003.03129.x