{"id":1528,"date":"2010-05-13T08:22:13","date_gmt":"2010-05-13T12:22:13","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/all-this-talk-about-migraines-and-pfo-closure-is-giving-me-a-headache\/"},"modified":"2011-07-19T17:44:17","modified_gmt":"2011-07-19T21:44:17","slug":"all-this-talk-about-migraines-and-pfo-closure-is-giving-me-a-headache","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/05\/13\/all-this-talk-about-migraines-and-pfo-closure-is-giving-me-a-headache\/","title":{"rendered":"All this talk about migraines and PFO closure is giving me a headache!"},"content":{"rendered":"<p>Despite a <a href=\"http:\/\/cardiology.jwatch.org\/cgi\/content\/full\/2008\/326\/1\">previous randomized trial <\/a>showing no improvement in migraine headaches with PFO closure,\u00a0<a href=\"http:\/\/interventions.onlinejacc.org\/cgi\/content\/abstract\/3\/3\/282\">a new study<\/a> disputes these findings. In patients with refractory migraines (aura in 80%) and at high risk of right-to-left shunting (all had an atrial septal aneurysm, eustachian valve, large shunt, and coagulation abnormalities), PFO closure significantly improved migraine symptoms.<\/p>\n<p><a href=\"http:\/\/cardioexchange.org\/jwatch\/cardiology\/content\/full\/2010\/512\/4\">Howie Herrmann is hesitant <\/a>to close a PFO for treatment of refractory migraines. I would close the PFO.<\/p>\n<p>Would you recommend PFO closure to your patient with refractory migraine?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Despite a previous randomized trial showing no improvement in migraine headaches with PFO closure,\u00a0a new study disputes these findings. In patients with refractory migraines (aura in 80%) and at high risk of right-to-left shunting (all had an atrial septal aneurysm, eustachian valve, large shunt, and coagulation abnormalities), PFO closure significantly improved migraine symptoms. Howie Herrmann [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,1,9,16],"tags":[],"class_list":["post-1528","post","type-post","status-publish","format-standard","hentry","category-cardiac-surgery","category-general","category-interventional-cardiology","category-vascular"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1528"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1528\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}