Evidence map›Paper›PMID 39135164›Full record

ArticleThe journal of headache and pain2024

Causality between migraine and cardiovascular disease: a bidirectional Mendelian randomization study.

Xirui Duan, Xiaolan Du, Guangrong Zheng, Xinyan Zhou, Na Tan, Guochen Li, Bin Liu, Mei Zhu, Tengfei Ke, Chengde Liao

Abstract read
In one paragraph

Article in The journal of headache and pain, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Xirui Duan *Department of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Xiaolan Du *Department of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Guangrong ZhengDepartment of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Xinyan ZhouDepartment of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Na TanDepartment of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Guochen LiDepartment of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Bin LiuDepartment of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China.
Mei ZhuDepartment of General Practice, The Third People's Hospital of Yunnan Province, Kunming, China.
Tengfei KeDepartment of Radiology, Yunnan Cancer Hospital/Center, Third Affiliated Hospital of Kunming Medical University, Kunming, China. 250169995@qq.com.
Chengde LiaoDepartment of Radiology, Yan'an Hospital of Kunming City (Yan'an Hospital, Kunming Medical University, Yunnan Cardiovascular Hospital), Kunming, China. chengdeliao@qq.com.

Funding

National Natural Science Foundation of China No. 81960421Yunnan Provincial Department of Education Scientific Research Fund Project 2024J0261Yunnan Talents Support Program No. XDYC-MY-2022-0064
6 · The paper itself

Abstract

backgroundWhile growing evidence suggests a relationship between migraine and cardiovascular disease, the genetic evidence for a causal relationship between migraine and cardiovascular disease is still scarce. Investigating the causal association between migraine and cardiovascular disease is vital.

methodsWe carried out a bidirectional Mendelian randomization (MR) study including discovery samples and replication samples using publicly available genome-wide association study (GWAS) summary datasets and stringent screening instrumental variables. Four different MR techniques-Inverse variance weighted (IVW), MR ‒Egger, weighted median, and weighted mode-as well as various sensitivity analyses-Cochran's Q, IVW radial, leave-one-out (LOO), and MR-PRESSO-were utilized to investigate the causal relationship between cardiovascular disease and migraine.

resultsThe protective causal effects of genetically predicted migraine on coronary artery disease (OR, 0.881; 95% CI 0.790-0.982; p = 0.023) and ischemic stroke (OR, 0.912; 95% CI 0.854-0.974; p = 0.006) were detected in forward MR analysis but not in any other cardiovascular disease. Consistently, we also discovered protective causal effects of coronary atherosclerosis (OR, 0.865; 95% CI 0.797-0.940; p = 0.001) and myocardial infarction (OR, 0.798; 95% CI 0.668-0.952; p = 0.012) on migraine in reverse MR analysis.

conclusionWe found a potential protective effect of migraine on coronary artery disease and ischemic stroke and a potential protective effect of coronary atherosclerosis and myocardial infarction on migraine. We emphasised epidemiological and genetic differences and the need for long-term safety monitoring of migraine medications and future research to improve cardiovascular outcomes in migraine patients.

Indexed as

Cardiovascular DiseasesGenome-Wide Association StudyMendelian Randomization AnalysisMigraine DisordersCausalityGenetic Predisposition to DiseaseHumansPolymorphism, Single NucleotideCardiovascular diseaseCausal associationGWASMendelian randomizationMigraine

Identifiers

PMID39135164
PMCPMC11321219

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.