Impairment on Cardiovascular Autonomic Modulation in Women with Migraine

Denise Martineli Rossi, Hugo Celso Dutra de Souza, Débora Bevilaqua-Grossi, Ana Carolina Carmona Vendramim, Stella Vieira Philbois, Gabriela Ferreira Carvalho, Fabíola Dach, Sérgio Mascarenhas and Anamaria Siriani de Oliveira ()
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Denise Martineli Rossi: Department of Applied Physiotherapy, Federal University of Triângulo Mineiro, Uberaba 38025-180, MG, Brazil
Hugo Celso Dutra de Souza: Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto 14049-900, SP, Brazil
Débora Bevilaqua-Grossi: Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto 14049-900, SP, Brazil
Ana Carolina Carmona Vendramim: Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto 14049-900, SP, Brazil
Stella Vieira Philbois: Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto 14049-900, SP, Brazil
Gabriela Ferreira Carvalho: Department of Physiotherapy, Institute of Health Sciences, Universität zu Lübeck, 23562 Lübeck, Germany
Fabíola Dach: Department of Neurosciences and Behavioral Sciences, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto 14049-900, SP, Brazil
Sérgio Mascarenhas: São Carlos Institute of Physics, University of São Paulo, Sao Carlos 13566-590, SP, Brazil
Anamaria Siriani de Oliveira: Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto 14049-900, SP, Brazil

IJERPH, 2022, vol. 20, issue 1, 1-8

Abstract: Autonomic dysfunction, such as reduced vagally mediated heart rate variability, has been suggested in headache patients but is still uncertain when considering primary headache disorders. This study aims to compare the heart rate and blood pressure variability and baroreflex sensitivity between women with migraine and controls. A migraine (n = 20) and a control group (n = 20) of age-matched women without headache were evaluated. Heart rate variability was analyzed through frequency-domain using spectral analysis presenting variance, low-frequency (LF; 0.04–0.15 Hz) and high-frequency (HF; 0.15–0.4 Hz) bands and by time domain (root mean square of successive R-R interval differences, RMSSD). Blood pressure variability was analyzed with spectral analysis and baroreflex sensitivity with the sequence method. Migraine group had lower heart rate variability characterized by a reduction in total variance, LF oscillations (sympathetic/vagal modulation) and HF oscillations (vagal modulation), and a reduction in SD and RMSSD compared to control group. No difference was found in the blood pressure variability analysis. Regarding baroreflex sensitivity, migraine group had decreased values of total gain, gain down and up compared to control group. Women with migraine exhibited autonomic modulation alterations, expressed by decreased values of heart rate variability and baroreflex sensitivity, but not by differences in blood pressure variability.

Keywords: headache; heart rate variability; blood pressure variability (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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