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. 2020 Jun 9;323(22):2281–2289. doi: 10.1001/jama.2020.7172

Table 4. Adjusted Incidence Rate of Major Cardiovascular Disease per 1000 Person-Years for Combinations of Major Vascular Risk Factors With and Without the Addition of Migraine With Aura (N = 27 858)a.

Risk factor combination Adjusted rate (95% CI)a P valuec
With migraine with aura Without migraine with aurab
Current smoking, total cholesterol ≥280 mg/dL, HDL cholesterol <40 mg/dL, triglycerides ≥194 mg/dL, family history of MI 15.90 (11.19-20.62) 9.99 (7.62-12.37) <.001
Diabetes, SBP ≥160 mm Hg, total cholesterol ≥280 mg/dL, triglycerides ≥194 mg/dL, BMI ≥30 22.79 (13.64-31.95) 14.32 (9.23-19.41) .002
Diabetes, SBP ≥160 mm Hg, total cholesterol, HDL cholesterol <40 mg/dL, triglycerides ≥194 mg/dL, BMI ≥30 28.97 (17.38-40.56) 18.20 (11.75-24.65) .002
Diabetes, current smoking, SBP ≥160 mm Hg, HDL cholesterol <40 mg/dL, triglycerides ≥194 mg/dL, BMI ≥30 46.95 (28.71-65.18) 29.49 (19.50-39.48) .002
Diabetes, current smoking, total cholesterol ≥280 mg/dL, HDL cholesterol <40 mg/dL, triglycerides ≥194 mg/dL, family history of MI, BMI ≥30 46.58 (30.61-62.54) 29.26 (20.81-37.70) .001
Diabetes, current smoking, SBP ≥160 mm Hg, total cholesterol ≥280 mg/dL, HDL cholesterol <40 mg/dL, triglycerides ≥194 mg/dL, BMI ≥30 62.96 (37.13-88.80) 39.55 (25.13-53.97) .002

Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); HDL, high-density lipoprotein; MI, myocardial infarction; SBP, systolic blood pressure.

a

Adjusted for the vascular risk factors (dichotomous) shown in the table plus age, alcohol use, exercise, hypertensive treatment, ever use of hormones, and premenopausal status.

b

Includes women who reported migraine without aura and who reported no migraine in the year prior to baseline.

c

P value shows the contrast of the combination of vascular risk factors without adding migraine with aura vs adding migraine with aura.