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Arterial hypertension in the chronic evolution of migraine: bystander or risk factor? An overview
by
Mazzacane, Federico
, Costa, Alfredo
, Vaghi, Gloria
, Cotta Ramusino, Matteo
, Perini, Giulia
in
Aldosterone
/ Angiotensin
/ Antihypertensives
/ Arterial hypertension
/ Blood-brain barrier
/ Calcitonin
/ Calcitonin gene-related peptide
/ Calcitonin Gene-Related Peptide - therapeutic use
/ Chronic headaches and medication overuse
/ Chronic migraine
/ Chronicization
/ Disease prevention
/ Endothelial dysfunction
/ Evolution
/ Headache
/ Humans
/ Hypertension
/ Hypertension - complications
/ Hypertension - epidemiology
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Migraine
/ Migraine Disorders - drug therapy
/ Neurology
/ Pain Medicine
/ Renin
/ Renin-Angiotensin System
/ Review
/ Risk Factors
2024
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Arterial hypertension in the chronic evolution of migraine: bystander or risk factor? An overview
by
Mazzacane, Federico
, Costa, Alfredo
, Vaghi, Gloria
, Cotta Ramusino, Matteo
, Perini, Giulia
in
Aldosterone
/ Angiotensin
/ Antihypertensives
/ Arterial hypertension
/ Blood-brain barrier
/ Calcitonin
/ Calcitonin gene-related peptide
/ Calcitonin Gene-Related Peptide - therapeutic use
/ Chronic headaches and medication overuse
/ Chronic migraine
/ Chronicization
/ Disease prevention
/ Endothelial dysfunction
/ Evolution
/ Headache
/ Humans
/ Hypertension
/ Hypertension - complications
/ Hypertension - epidemiology
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Migraine
/ Migraine Disorders - drug therapy
/ Neurology
/ Pain Medicine
/ Renin
/ Renin-Angiotensin System
/ Review
/ Risk Factors
2024
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Arterial hypertension in the chronic evolution of migraine: bystander or risk factor? An overview
by
Mazzacane, Federico
, Costa, Alfredo
, Vaghi, Gloria
, Cotta Ramusino, Matteo
, Perini, Giulia
in
Aldosterone
/ Angiotensin
/ Antihypertensives
/ Arterial hypertension
/ Blood-brain barrier
/ Calcitonin
/ Calcitonin gene-related peptide
/ Calcitonin Gene-Related Peptide - therapeutic use
/ Chronic headaches and medication overuse
/ Chronic migraine
/ Chronicization
/ Disease prevention
/ Endothelial dysfunction
/ Evolution
/ Headache
/ Humans
/ Hypertension
/ Hypertension - complications
/ Hypertension - epidemiology
/ Internal Medicine
/ Medicine
/ Medicine & Public Health
/ Migraine
/ Migraine Disorders - drug therapy
/ Neurology
/ Pain Medicine
/ Renin
/ Renin-Angiotensin System
/ Review
/ Risk Factors
2024
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Arterial hypertension in the chronic evolution of migraine: bystander or risk factor? An overview
Journal Article
Arterial hypertension in the chronic evolution of migraine: bystander or risk factor? An overview
2024
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Overview
Background
Several risk factors are associated with the chronic evolution of migraine. Clinical and preclinical studies have provided data about the role of hypertension (HT) as one of the potential modifiable risk factors of chronic migraine (CM). This review is focused on the biological and clinical evidence supporting common mechanisms underlying HT and migraine and the potential role of HT in the transition from episodic to chronic migraine.
Methods
We conducted a narrative review from a literature search covering the available evidence from studies investigating: i) the role of HT in the transition to CM in clinical practice; ii) the biological mechanisms potentially underpinning the association between HT and evolution to CM; iii) the role of antihypertensive medications in migraine prophylaxis.
Results
HT proved to be at the base of multiple mechanisms underlying migraine and migraine chronicization. Endothelial dysfunction, blood–brain barrier alterations, calcitonin gene-related peptide signaling, and renin–angiotensin–aldosterone system dysregulation are involved in the worsening effect of HT on migraine frequency, and the role of HT in the transition to CM is supported by clinical observations.
Conclusions
The observed evidence supports HT contribution to CM evolution due to shared pathophysiologic mechanisms. While a bidirectional influence appears to be ascertained, data are still lacking about the one-way role of HT as direct risk factor for CM transition. Further research is needed to confirm a causal role of HT in this process.
Publisher
Springer Milan,Springer Nature B.V,BMC
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