Headache: Prevalence and relationship with office or ambulatory blood pressure in a general population sample (the Vobarno Study) |
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Authors: | Muiesan Maria Lorenza Padovani Alessandro Salvetti Massimo Monteduro Cristina Poisa Paolo Bonzi Bianca Paini Anna Cottini Elisabetta Agosti Chiara Castellano Maurizio Rizzoni Damiano Vignolo Amedeo Agabiti-Rosei Enrico |
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Institution: |
a Internal Medicine,
b Neurology, Department of Medical and Surgical Sciences, University of Brescia, 25100 Brescia, Italy |
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Abstract: | The association of headache and arterial hypertension is still controversial, although headache is usually considered a symptom of hypertension. The aim of this study is to evaluate the prevalence of headache in a general population sample and the relationship with arterial hypertension, as diagnosed by office measurements and ambulatory monitoring of blood pressure (BP). Patients and methods. In the randomized sample of the Vobarno population, 301 subjects (126 males, 175 females, age range 35-50 years) underwent a structured standardized headache questionnaire, office and 24-h ambulatory BP monitoring. Results. Prevalence of lifetime headache and of migraine was greater in females than in males. Office and 24-h BP values did not differ between subjects without headache and subjects with headache. No differences in headache prevalence (58% vs 55%), migraine prevalence (32% vs 28%) and use of analgesic drugs in the presence of headache (82% vs 78%) were observed between hypertensive patients (93.5% newly diagnosed, 6.5% treated) and normotensive subjects. Conclusions. In a general population sample, hypertension (diagnosed by office and/or 24-h BP) is not associated with headache. |
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Keywords: | Headache ambulatory BP blood pressure migraine masked hypertension isolated office hypertension |
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