Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population

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Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population. / Osler, Merete; Wium-Andersen, Ida Kim; Jørgensen, Martin Balslev; Jørgensen, Terese Sara Høj; Wium-Andersen, Marie Kim.

In: Clinical Epidemiology, Vol. 9, 31.08.2017, p. 439-449.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Osler, M, Wium-Andersen, IK, Jørgensen, MB, Jørgensen, TSH & Wium-Andersen, MK 2017, 'Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population', Clinical Epidemiology, vol. 9, pp. 439-449. https://doi.org/10.2147/CLEP.S144441

APA

Osler, M., Wium-Andersen, I. K., Jørgensen, M. B., Jørgensen, T. S. H., & Wium-Andersen, M. K. (2017). Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population. Clinical Epidemiology, 9, 439-449. https://doi.org/10.2147/CLEP.S144441

Vancouver

Osler M, Wium-Andersen IK, Jørgensen MB, Jørgensen TSH, Wium-Andersen MK. Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population. Clinical Epidemiology. 2017 Aug 31;9:439-449. https://doi.org/10.2147/CLEP.S144441

Author

Osler, Merete ; Wium-Andersen, Ida Kim ; Jørgensen, Martin Balslev ; Jørgensen, Terese Sara Høj ; Wium-Andersen, Marie Kim. / Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population. In: Clinical Epidemiology. 2017 ; Vol. 9. pp. 439-449.

Bibtex

@article{a698c272f6d04216981fc47f7fb8102c,
title = "Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population",
abstract = "INTRODUCTION: Migraine has consistently been associated with increased risk of ischemic stroke, while the evidence for a relation with other types of stroke or coronary outcomes is limited. We examined the association between migraine and stroke and acute coronary syndrome (ACS) subtypes and the influence of potential confounding factors.METHODS: All first-time hospital contacts for stroke (n=155,216) or ACS (n=97,799) were identified in Danish National Patient Registers and matched with 2 control groups of the background population. A hospital diagnosis of migraine and use of migraine medication were the main exposures and associations (odds ratios [OR]) were estimated using multiple logistic regression. Confounding was also addressed by including use of general headache medication as a negative control exposure.RESULTS: The diagnosis of migraine was associated with increased odds of both stroke (ORcrude, age <50 years: 4.80 [95{\%} CI: 3.75-6.21]; ORcrude, age ≥50 years:1.91 [95{\%} CI: 1.67-2.19]) and ACS (ORcrude:1.88 [95{\%} CI: 1.53-2.32]), while the ORs for the associations between migraine medication and stroke and ACS were lower. Patients with a diagnosis of migraine or redeemed migraine medication had increased ORs of all stroke subtypes (ischemic, hemorrhagic stroke and transient ischemic attacks). The diagnosis of migraine was also associated with both angina and myocardial infarction (ST-elevation Myocardial Infarction [STEMI], non-STEMI and unspecified) with the highest OR for angina. These associations were not fully explained by adjustment for confounding co-variables or when compared with the negative control exposure that were assumed to be influenced by similar confounding factors, but no shared pathogenesis.CONCLUSION: Hospital-diagnosed migraine was associated with all stroke and ACS subtypes, with ischemic stroke and angina having the highest odds. Confounding did not explain the associations.",
keywords = "Journal Article",
author = "Merete Osler and Wium-Andersen, {Ida Kim} and J{\o}rgensen, {Martin Balslev} and J{\o}rgensen, {Terese Sara H{\o}j} and Wium-Andersen, {Marie Kim}",
year = "2017",
month = "8",
day = "31",
doi = "10.2147/CLEP.S144441",
language = "English",
volume = "9",
pages = "439--449",
journal = "Clinical Epidemiology",
issn = "1179-1349",
publisher = "Dove Medical Press Ltd",

}

RIS

TY - JOUR

T1 - Migraine and risk of stroke and acute coronary syndrome in two case-control studies in the Danish population

AU - Osler, Merete

AU - Wium-Andersen, Ida Kim

AU - Jørgensen, Martin Balslev

AU - Jørgensen, Terese Sara Høj

AU - Wium-Andersen, Marie Kim

PY - 2017/8/31

Y1 - 2017/8/31

N2 - INTRODUCTION: Migraine has consistently been associated with increased risk of ischemic stroke, while the evidence for a relation with other types of stroke or coronary outcomes is limited. We examined the association between migraine and stroke and acute coronary syndrome (ACS) subtypes and the influence of potential confounding factors.METHODS: All first-time hospital contacts for stroke (n=155,216) or ACS (n=97,799) were identified in Danish National Patient Registers and matched with 2 control groups of the background population. A hospital diagnosis of migraine and use of migraine medication were the main exposures and associations (odds ratios [OR]) were estimated using multiple logistic regression. Confounding was also addressed by including use of general headache medication as a negative control exposure.RESULTS: The diagnosis of migraine was associated with increased odds of both stroke (ORcrude, age <50 years: 4.80 [95% CI: 3.75-6.21]; ORcrude, age ≥50 years:1.91 [95% CI: 1.67-2.19]) and ACS (ORcrude:1.88 [95% CI: 1.53-2.32]), while the ORs for the associations between migraine medication and stroke and ACS were lower. Patients with a diagnosis of migraine or redeemed migraine medication had increased ORs of all stroke subtypes (ischemic, hemorrhagic stroke and transient ischemic attacks). The diagnosis of migraine was also associated with both angina and myocardial infarction (ST-elevation Myocardial Infarction [STEMI], non-STEMI and unspecified) with the highest OR for angina. These associations were not fully explained by adjustment for confounding co-variables or when compared with the negative control exposure that were assumed to be influenced by similar confounding factors, but no shared pathogenesis.CONCLUSION: Hospital-diagnosed migraine was associated with all stroke and ACS subtypes, with ischemic stroke and angina having the highest odds. Confounding did not explain the associations.

AB - INTRODUCTION: Migraine has consistently been associated with increased risk of ischemic stroke, while the evidence for a relation with other types of stroke or coronary outcomes is limited. We examined the association between migraine and stroke and acute coronary syndrome (ACS) subtypes and the influence of potential confounding factors.METHODS: All first-time hospital contacts for stroke (n=155,216) or ACS (n=97,799) were identified in Danish National Patient Registers and matched with 2 control groups of the background population. A hospital diagnosis of migraine and use of migraine medication were the main exposures and associations (odds ratios [OR]) were estimated using multiple logistic regression. Confounding was also addressed by including use of general headache medication as a negative control exposure.RESULTS: The diagnosis of migraine was associated with increased odds of both stroke (ORcrude, age <50 years: 4.80 [95% CI: 3.75-6.21]; ORcrude, age ≥50 years:1.91 [95% CI: 1.67-2.19]) and ACS (ORcrude:1.88 [95% CI: 1.53-2.32]), while the ORs for the associations between migraine medication and stroke and ACS were lower. Patients with a diagnosis of migraine or redeemed migraine medication had increased ORs of all stroke subtypes (ischemic, hemorrhagic stroke and transient ischemic attacks). The diagnosis of migraine was also associated with both angina and myocardial infarction (ST-elevation Myocardial Infarction [STEMI], non-STEMI and unspecified) with the highest OR for angina. These associations were not fully explained by adjustment for confounding co-variables or when compared with the negative control exposure that were assumed to be influenced by similar confounding factors, but no shared pathogenesis.CONCLUSION: Hospital-diagnosed migraine was associated with all stroke and ACS subtypes, with ischemic stroke and angina having the highest odds. Confounding did not explain the associations.

KW - Journal Article

U2 - 10.2147/CLEP.S144441

DO - 10.2147/CLEP.S144441

M3 - Journal article

VL - 9

SP - 439

EP - 449

JO - Clinical Epidemiology

JF - Clinical Epidemiology

SN - 1179-1349

ER -

ID: 184669107