Recent research sheds light on the concerning connection between migraines, especially those with aura, and persistent hot flashes, indicating a heightened risk for cardiovascular disease. Published in Menopause, the official journal of The Menopause Society, this study breaks new ground by delving into the combined impact of migraines and vasomotor symptoms, independent of traditional heart disease risk factors and estrogen use.
The findings reveal a significant correlation: women experiencing both migraine and persistent vasomotor symptoms are 1.5 times more likely to develop heart disease and 1.7 times more likely to suffer a stroke compared to those without these symptoms. This risk remains even after adjusting for factors like age, race, estrogen use, and other cardiovascular risk factors such as tobacco use, lipid levels, blood pressure, and fasting glucose.
The study, involving nearly 2,000 women tracked from ages 18 to 30 until around age 61, underscores the importance of recognizing these risk factors early on. While migraines and hot flashes are common occurrences—impacting approximately 17.5% and nearly 80% of women, respectively—their combined effect on heart health is cause for concern.
Hot flashes, a hallmark of menopausal transition, vary widely in severity, frequency, and accompanying symptoms, making them a complex area of study. Migraines, prevalent among women in late reproductive age, further compound the issue. By understanding and addressing the intersection of these symptoms, healthcare professionals can better identify and manage cardiovascular risks in women, ultimately improving long-term health outcomes.
Survey results are published in the article “Migraines, vasomotor symptoms, and cardiovascular disease in the Coronary Arter Risk Development in Young Adults study.”

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