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Migraine and Atrial Fibrillation: A Systematic Review and Meta-analysis
  • +15
  • Camelia Qi En Lim,
  • Yao Neng Teo,
  • Tony Li YW,
  • Swee-Chong Seow,
  • Amanda Chee Yun Chan,
  • Vijay Kumar Sharma,
  • Benjamin Tan YQ,
  • Leonard Yeo LL,
  • Jonathan Ong JY,
  • Ching-Hui Sia,
  • Yao Hao Teo,
  • Nicholas Syn LX,
  • Aloysius Leow ST,
  • Jamie Ho SY,
  • Toon Wei Lim,
  • Mark Chan Y,
  • Raymond Wong,
  • Ping Chai
Camelia Qi En Lim
Monash University Faculty of Medicine Nursing and Health Sciences

Corresponding Author:camelialimqien@gmail.com

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Yao Neng Teo
National University Singapore Yong Loo Lin School of Medicine
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Tony Li YW
National University Heart Centre
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Swee-Chong Seow
National University Singapore Yong Loo Lin School of Medicine
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Amanda Chee Yun Chan
National University Singapore Yong Loo Lin School of Medicine
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Vijay Kumar Sharma
National University Singapore Yong Loo Lin School of Medicine
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Benjamin Tan YQ
National University Singapore Yong Loo Lin School of Medicine
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Leonard Yeo LL
National University Singapore Yong Loo Lin School of Medicine
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Jonathan Ong JY
National University Singapore Yong Loo Lin School of Medicine
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Ching-Hui Sia
National University Singapore Yong Loo Lin School of Medicine
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Yao Hao Teo
National University Singapore Yong Loo Lin School of Medicine
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Nicholas Syn LX
National University Singapore Yong Loo Lin School of Medicine
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Aloysius Leow ST
National University Heart Centre
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Jamie Ho SY
Royal Free Hospital
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Toon Wei Lim
National University Singapore Yong Loo Lin School of Medicine
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Mark Chan Y
National University Singapore Yong Loo Lin School of Medicine
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Raymond Wong
National University Singapore Yong Loo Lin School of Medicine
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Ping Chai
National University Singapore Yong Loo Lin School of Medicine
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Abstract

Introduction: Patients with migraines, particularly those with auras, may present with stroke. Atrial fibrillation is a known risk factor for stroke. With common pathophysiological factors between migraines and atrial fibrillation, we aimed to clarify the association between migraine and atrial fibrillation in this systematic review and meta-analysis. Materials and Methods: A literature search was conducted in EMBASE, PubMed, Scopus and Cochrane electronic bibliographic databases from inception to 14th June 2021 with the following inclusion criteria: (1) cohort or cross-sectional studies, (2) patients ≥ 18-years-old, (3) studies examining association between atrial fibrillation and migraines. Exclusion criteria were case-control studies, studies including patients with prior diagnosis of atrial fibrillation or non-migrainous headache. The Newcastle Ottawa Scale was used to assess the quality of studies.  Results: 6 studies were included, demonstrating a 1.61% (95% CI 0.51, 3.29) pooled prevalence of atrial fibrillation in migraine with aura and 1.32% (95% CI 0.17, 3.41) in migraine without aura. The total prevalence of atrial fibrillation in migraine was 1.39% (95% CI 0.24, 3.46) overall. Conclusion: Overall, there was a higher prevalence of atrial fibrillation in migraine with aura compared to migraine without aura. Prevalence of atrial fibrillation in migraine patients was low.