TY - JOUR T1 -读者反应:伴有视觉先兆的偏头痛是房颤发生的危险因素:一项队列研究JF - Neurology JO - Neurology SP - 645 LP - 646 DO - 10.1212/WNL.0000000000008202首页VL - 93 IS - 14 AU - Gupta, Vinod Y1 - 2019/10/01 UR - http://n.首页neurology.org/content/93/14/645.2.abstract N2 -我感兴趣地阅读了Sen等人的文章。1研究人员认为，有先兆偏头痛(MwA)和无先兆偏头痛(MwoA)是不同的临床实体。神经药理学上，阻滞剂和三环抗抑郁药在预防这两种变异方面同样有效。这项研究1没有区分不同的偏头痛视觉先兆2只有无闪烁的偏头痛性视野丧失才能被认为是缺血性起源。所有患者均未见闪烁性暗点偏头痛视觉先兆的回顾性问卷回答是高度主观的。房颤(AF)相关血栓栓塞引起的反复定型的mwa -头痛发作需要在数十年的时间里，可预测或不可预测地假定血管闭塞物质进入相同的脑血管区域，这是一种极不可能或不可能的临床情况房颤始于右心房。MwA-AF患者的肺循环不能无限期保留。 There is also no difference in autonomic dysfunction between patients with MwA and patients with MwoA, as speculated.1Meta-analysis obtains bizarre associations and has introduced a façade of mathematical acceptability that draws the clinician away from reality.4 The linkage of AF-related presumed thromboembolism to patients with MwA,1 despite lack of commonsense and logic in closure of the patent foramen ovale to prevent migraine attacks,3 appears to be misplaced. ER -