Changes in Cardiac Electrophysiology and Predisposition to Arrhythmia in Migraine Patients
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Original Research

Changes in Cardiac Electrophysiology and Predisposition to Arrhythmia in Migraine Patients

Bull Cardiovasc Acad 2024;2(2):43-46 DOI: 10.4274/kvbulten.galenos.2024.78553
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Abstract

Objective

In our study, we examined the relationship between cardiac arrhythmia predictive parameters and migraine. The clinical symptoms of migraine are generally attributed to involvement of the autonomic nervous system, particularly the disruption of circulatory control and autonomic balance. Migraine is a common neurovascular disease with a complex relationship with cerebrovascular and cardiovascular disorders. It can cause cardiac arrhythmias by affecting the autonomic nervous system of the heart with its neurological and vascular components

Material and Methods

Patients who had been followed up with migraine for at least three years were included in the study. Patients with a history of cardiac arrhythmia or those using any antiarrhythmics were excluded from the study. All patients were in sinus rhythm and electrocardiogram records were examined and PWST, Tp-e, Tp-e/QTc and electrophysiological balance index-c (ICEB-c) were compared with the control group.

Results

PWST, Tp-e, Tp-e/QTc and ICEB-c parameters, which are predictive of cardiac arrhythmia, did not show statistical differences in migraine patients (p-value 0.301, 0.967, 0.982 and 0.814 respectively).

Conclusion

Migraine, a disorder characterized by both neurological and vascular degeneration, does not possess a specific risk factor for cardiac arrhythmia. There is no significant difference in electrophysiological characteristics that can be used to predict cardiac arrhythmia in patients who have been followed up for a long period.

Keywords: Migraine, cardiac arrhythmia, autonomic nervous system, headache, paroxysmal atrial fibrillation, ventricular repolarization

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