Sunday Times (Sri Lanka)

Severe migraines which start with flashing lights or blurry vision could trigger heart condition

Women are three times more likely than men to suffer migraines, figures show Researcher­s tracked the medical records of almost 12,000 people for the study

- By Victoria Allen

Migraines which start with flashing lights can raise the risk of having an irregular heartbeat.

People who suffer migraines with visual symptoms, including light flashes, blurry vision or blind spots, are 30 per cent more likely to have an irregular heartbeat than those who are migraine-free.

An irregular heartbeat can lead to a stroke, as blood clots start in the heart and make their way to the brain.

Women are three times more likely than men to suffer migraines, which usually begin in early adulthood.

They affect around one in five women and one in 15 men, with a minority suffering a visual ‘aura’ before their headache starts.

Researcher­s tracked the medical records of almost 12,000 people, of whom just over 1,500 suffered migraines, with 426 having visual symptoms.

They found an estimated nine out of 1,000 people with visual migraines also had an irregular heartbeat, compared to just seven out of 1,000 migraine sufferers who did not see an ‘aura’ before attacks.

Dr Souvik Sen, who led the study from the University of South Carolina, said: ‘ It is important to note that people with migraine with aura may be at a higher risk of atrial fibrillati­on due to problems with the autonomic nervous system, which helps control the heart and blood vessels.

‘ More research is needed to determine if people with migraine with visual aura should be screened for atrial fibrillati­on.’

For the study, 11,939 people with an average age of 60 were asked if they had ever suffered a migraine.

This is a headache lasting longer than four hours, with throbbing or pulsating pain mainly on one side of the head, along with nausea or vomiting or sensitivit­y to sound and light.

Of those who suffered migraines, 426 reported visual symptoms, which they said included seeing spots and jagged lines.

Among this group, 18 per cent developed an irregular heart-

Migraines are the sixth most common cause of disability around the world, and are strongly linked to depression and work absenteeis­m. Current drugs include Triptans - which deal with the symptoms but not the cause - but if they are taken too often they actually increase the frequency of attacks.

beat over the next 20 years, compared to 14 per cent of migraine sufferers without vision issues.

Among migraine-free people, 17 per cent developed an irregular heartbeat, also known as atrial fibrillati­on.

Dr Sen said: ‘ Since atrial fibrillati­on is a common source of strokes caused by blood clots, and previous research has shown a link between migraine with aura and stroke, we wanted to see if people who have migraine with aura also have a higher rate of atrial fibrillati­on.’

The results show four out of 1,000 people every year suffered a stroke if they had migraines with visual auras.

Half as many, two out of 1,000 a year, suffered a stroke in people with non-visual migraines, and three out of 1,000 in people who did not suffer migraines.

If a migraine can lead to an irregular heartbeat, the latter can trigger a stroke, as blood may pool in the heart, potentiall­y forming clots that go to the brain.

- The pain of migraine

Migraines are caused by a complex neurologic­al condition which can affect the whole body - causing crippling headaches, nausea, blackouts, vomiting and even paralysis.

Migraines are the sixth most common cause of disability around the world, and are strongly linked to depression and work absenteeis­m. Current drugs include Triptans - which deal with the symptoms but not the cause - but if they are taken too often they actually increase the frequency of attacks.

Other treatments which ward off attacks are all designed for other conditions - such as botox, epilepsy medicines and beta blockers for heart disease.

The new drug works in a completely different way - attacking the cause of migraines by stopping a protein which causes blood vessels to swell in the brain.

 ??  ?? Migraines which start with flashing lights can raise the risk of having an irregular heartbeat
Migraines which start with flashing lights can raise the risk of having an irregular heartbeat

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