Beyond Stroke—Investigating Heart-Brain Connections in Migraine and Pain: A Mini Review Article Swipe
Roshni Riaz Memon
,
Muqadas Bhatti
,
Umar Aziz
,
Javeria Nawaz
,
Vicky Kumar
,
Haris Muhammad
,
Ali Ather
,
Aparna Iyer
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.29245/2768-5365/2025/3.1166
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.29245/2768-5365/2025/3.1166
The patent foramen ovale (PFO), a congenital interatrial communication caused by incomplete septal closure, has long been recognised as a factor contributing to cryptogenic stroke, especially among younger adults. However, recent evidence has expanded its clinical relevance, revealing a strong association between PFO and migraine with aura. This emerging link has sparked interest in evaluating PFO closure not only for secondary stroke prevention but also as a possible treatment for neurovascular pain syndromes. Randomised controlled trials such as PRIMA and PREMIUM have assessed the impact of transcatheter PFO closure on migraine frequency. While these studies showed modest reductions, the varied outcomes highlight the complexity of the PFO–migraine relationship. Despite this variability, transcatheter closure with nitinol-based occluders remains a safe and effective procedure, achieving long-term closure rates of over 98% with few complications. Recent advances, including biodegradable occluders studied in the BioMetal trial, reflect increasing momentum towards personalised and biocompatible treatment approaches. Overall, these developments suggest that PFO closure could provide meaningful relief for carefully selected migraine sufferers—particularly those with frequent aura and refractory symptoms. Going forward, collaboration between cardiologists, neurologists, and pain specialists will be crucial to understanding the underlying mechanisms and refining patient selection. As knowledge advances, PFO closure holds promise as a transformative intervention that links cerebrovascular health and chronic pain management.
Related Topics
Concepts
Patent foramen ovale
Migraine
Medicine
Closure (psychology)
Intensive care medicine
Aura
Stroke (engine)
Clinical trial
Refractory (planetary science)
Intervention (counseling)
Cervicogenic headache
Pain medicine
Evidence-based medicine
Migraine with aura
Neurovascular bundle
Chronic Migraine
Internal medicine
Pain relief
Reversing
Neuromodulation
Cardiology
Topiramate
Physical therapy
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.29245/2768-5365/2025/3.1166
- https://www.anesthesioljournal.com/articles/beyond-stroke-investigating-heart-brain-connections-in-migraine-and-pain-a-mini-review.pdf
- OA Status
- hybrid
- OpenAlex ID
- https://openalex.org/W7105987428
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W7105987428Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.29245/2768-5365/2025/3.1166Digital Object Identifier
- Title
-
Beyond Stroke—Investigating Heart-Brain Connections in Migraine and Pain: A Mini ReviewWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-11-10Full publication date if available
- Authors
-
Roshni Riaz Memon, Muqadas Bhatti, Umar Aziz, Javeria Nawaz, Vicky Kumar, Haris Muhammad, Ali Ather, Aparna IyerList of authors in order
- Landing page
-
https://doi.org/10.29245/2768-5365/2025/3.1166Publisher landing page
- PDF URL
-
https://www.anesthesioljournal.com/articles/beyond-stroke-investigating-heart-brain-connections-in-migraine-and-pain-a-mini-review.pdfDirect link to full text PDF
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-
YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://www.anesthesioljournal.com/articles/beyond-stroke-investigating-heart-brain-connections-in-migraine-and-pain-a-mini-review.pdfDirect OA link when available
- Concepts
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Patent foramen ovale, Migraine, Medicine, Closure (psychology), Intensive care medicine, Aura, Stroke (engine), Clinical trial, Refractory (planetary science), Intervention (counseling), Cervicogenic headache, Pain medicine, Evidence-based medicine, Migraine with aura, Neurovascular bundle, Chronic Migraine, Internal medicine, Pain relief, Reversing, Neuromodulation, Cardiology, Topiramate, Physical therapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
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| abstract_inverted_index.rates | 125 |
| abstract_inverted_index.these | 93, 152 |
| abstract_inverted_index.those | 167 |
| abstract_inverted_index.(PFO), | 4 |
| abstract_inverted_index.Recent | 132 |
| abstract_inverted_index.caused | 9 |
| abstract_inverted_index.factor | 20 |
| abstract_inverted_index.health | 209 |
| abstract_inverted_index.impact | 84 |
| abstract_inverted_index.modest | 96 |
| abstract_inverted_index.patent | 1 |
| abstract_inverted_index.recent | 30 |
| abstract_inverted_index.relief | 161 |
| abstract_inverted_index.septal | 12 |
| abstract_inverted_index.showed | 95 |
| abstract_inverted_index.stroke | 61 |
| abstract_inverted_index.strong | 39 |
| abstract_inverted_index.trial, | 141 |
| abstract_inverted_index.trials | 75 |
| abstract_inverted_index.varied | 99 |
| abstract_inverted_index.Despite | 108 |
| abstract_inverted_index.PREMIUM | 80 |
| abstract_inverted_index.adults. | 28 |
| abstract_inverted_index.between | 41, 177 |
| abstract_inverted_index.chronic | 211 |
| abstract_inverted_index.closure | 56, 88, 112, 124, 157, 199 |
| abstract_inverted_index.crucial | 185 |
| abstract_inverted_index.foramen | 2 |
| abstract_inverted_index.patient | 193 |
| abstract_inverted_index.promise | 201 |
| abstract_inverted_index.provide | 159 |
| abstract_inverted_index.reflect | 142 |
| abstract_inverted_index.remains | 116 |
| abstract_inverted_index.sparked | 51 |
| abstract_inverted_index.stroke, | 24 |
| abstract_inverted_index.studied | 137 |
| abstract_inverted_index.studies | 94 |
| abstract_inverted_index.suggest | 154 |
| abstract_inverted_index.towards | 145 |
| abstract_inverted_index.younger | 27 |
| abstract_inverted_index.BioMetal | 140 |
| abstract_inverted_index.However, | 29 |
| abstract_inverted_index.Overall, | 151 |
| abstract_inverted_index.assessed | 82 |
| abstract_inverted_index.clinical | 35 |
| abstract_inverted_index.closure, | 13 |
| abstract_inverted_index.emerging | 48 |
| abstract_inverted_index.evidence | 31 |
| abstract_inverted_index.expanded | 33 |
| abstract_inverted_index.forward, | 175 |
| abstract_inverted_index.frequent | 169 |
| abstract_inverted_index.interest | 52 |
| abstract_inverted_index.migraine | 44, 90, 165 |
| abstract_inverted_index.momentum | 144 |
| abstract_inverted_index.outcomes | 100 |
| abstract_inverted_index.possible | 67 |
| abstract_inverted_index.refining | 192 |
| abstract_inverted_index.selected | 164 |
| abstract_inverted_index.achieving | 122 |
| abstract_inverted_index.advances, | 133, 197 |
| abstract_inverted_index.carefully | 163 |
| abstract_inverted_index.effective | 120 |
| abstract_inverted_index.highlight | 101 |
| abstract_inverted_index.including | 134 |
| abstract_inverted_index.knowledge | 196 |
| abstract_inverted_index.long-term | 123 |
| abstract_inverted_index.occluders | 115, 136 |
| abstract_inverted_index.revealing | 37 |
| abstract_inverted_index.secondary | 60 |
| abstract_inverted_index.symptoms. | 173 |
| abstract_inverted_index.treatment | 68, 149 |
| abstract_inverted_index.Randomised | 73 |
| abstract_inverted_index.complexity | 103 |
| abstract_inverted_index.congenital | 6 |
| abstract_inverted_index.controlled | 74 |
| abstract_inverted_index.especially | 25 |
| abstract_inverted_index.evaluating | 54 |
| abstract_inverted_index.frequency. | 91 |
| abstract_inverted_index.incomplete | 11 |
| abstract_inverted_index.increasing | 143 |
| abstract_inverted_index.meaningful | 160 |
| abstract_inverted_index.mechanisms | 190 |
| abstract_inverted_index.prevention | 62 |
| abstract_inverted_index.procedure, | 121 |
| abstract_inverted_index.recognised | 17 |
| abstract_inverted_index.refractory | 172 |
| abstract_inverted_index.relevance, | 36 |
| abstract_inverted_index.selection. | 194 |
| abstract_inverted_index.syndromes. | 72 |
| abstract_inverted_index.underlying | 189 |
| abstract_inverted_index.approaches. | 150 |
| abstract_inverted_index.association | 40 |
| abstract_inverted_index.cryptogenic | 23 |
| abstract_inverted_index.interatrial | 7 |
| abstract_inverted_index.management. | 213 |
| abstract_inverted_index.reductions, | 97 |
| abstract_inverted_index.specialists | 182 |
| abstract_inverted_index.contributing | 21 |
| abstract_inverted_index.developments | 153 |
| abstract_inverted_index.intervention | 205 |
| abstract_inverted_index.personalised | 146 |
| abstract_inverted_index.variability, | 110 |
| abstract_inverted_index.biocompatible | 148 |
| abstract_inverted_index.biodegradable | 135 |
| abstract_inverted_index.collaboration | 176 |
| abstract_inverted_index.communication | 8 |
| abstract_inverted_index.neurologists, | 179 |
| abstract_inverted_index.neurovascular | 70 |
| abstract_inverted_index.nitinol-based | 114 |
| abstract_inverted_index.relationship. | 107 |
| abstract_inverted_index.transcatheter | 86, 111 |
| abstract_inverted_index.understanding | 187 |
| abstract_inverted_index.PFO–migraine | 106 |
| abstract_inverted_index.cardiologists, | 178 |
| abstract_inverted_index.complications. | 131 |
| abstract_inverted_index.transformative | 204 |
| abstract_inverted_index.cerebrovascular | 208 |
| abstract_inverted_index.sufferers—particularly | 166 |
| cited_by_percentile_year | |
| countries_distinct_count | 0 |
| institutions_distinct_count | 8 |
| citation_normalized_percentile.value | 0.82734535 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |