Heart Rate Recovery in Migraine and Tension-Type Headache

Objective.— There are reports proposing that migraine and tension‐type headache (TTH) may affect the autonomic nervous system (ANS). Abnormalities in both sympathetic and parasympathetic nervous system have been suggested in migraineurs. However, in TTH, reports on the ANS function are limited and o...

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Bibliographic Details
Published in:Headache 2008-02, Vol.48 (2), p.221-225
Main Authors: Yerdelen, Deniz, Acil, Tayfun, Goksel, Basak, Karatas, Mehmet
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Heart Rate - physiology
heart rate recovery
Humans
Male
Medical sciences
migraine
Migraine Disorders - physiopathology
Nervous system (semeiology, syndromes)
Neurology
Recovery of Function - physiology
tension-type headache
Tension-Type Headache - physiopathology
Time Factors
Vascular diseases and vascular malformations of the nervous system
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Summary:Objective.— There are reports proposing that migraine and tension‐type headache (TTH) may affect the autonomic nervous system (ANS). Abnormalities in both sympathetic and parasympathetic nervous system have been suggested in migraineurs. However, in TTH, reports on the ANS function are limited and only associated with sympathetic system. Techniques for evaluating parasympathetic activity are more limited when compared with sympathetic function. Hence, the aim of the study was to measure heart rate recovery (HRR), an index of vagal activity, in migraine, TTH, and control subjects. Methods.— Forty‐seven episodic migraine, 10 episodic TTH, 11 chronic TTH, and 25 control subjects underwent exercise tolerance test according to modified Bruce protocol, and HRR at 1 minute and 3 minutes (HRR1 and HRR3) were calculated. Results.— The HRR 1 and 3 were found to be similar in 3 groups of subjects. However, resting heart rate of migraine and chronic TTH were found to be higher than episodic TTH, but not different from the control group. Consclusion.— These results suggest that parasympathetic function has not been affected in migraine and TTH patients. However, sympathetic tonus, which is evaluated by resting heart rate, is higher in migraine and chronic TTH than in episodic TTH.
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2007.00994.x