Tension-type headache and hypertension phenotype: Myth or reality
https://doi.org/10.29001/2073-8552-2022-37-3-29-40
Abstract
Objective. This review article provides an analysis of studies focusing on the problem of comorbid tension-type headache (TTH) and hypertension (HT).
Key Points. A combination of headache and HT is common in clinical practice. The analysis of studies showed that 53.7% of hypertensive patients present with complaints of headache, and 30.7% of headache patients have HT in the anamnesis. The prevalence of HT is 1.9 times higher in TTH patients than in those with migraine. The results demonstrate the presence of two separate, but highly comorbid nosologies (HT and TTH) among study participants included in the review. Evaluation of research methodology showed that the discrepancies in the results may be explained by the differences in design and sample characteristics (degree and profi le of HT; duration of HT and TTH). Patients with mild HT do not have direct associations between headache and increased blood pressure. Blood pressure values do not diff er during, before, and after TTH paroxysm. HT is less prevalent in patients with episodic TTH compared with that in patients with chronic TTH.
Conclusion. The analysis of available studies suggests that TTH + HT phenotype is a frequent condition, but its real prevalence rates require further studies.
Supporting agencies: The study was supported by grant for young scientists from Krasnoyarsk State Medical University (rector order No. 462 dated 12.07.2021).
About the Authors
P. V. Alyabyeva
Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky
Russian Federation
Russian Federation
Polina V. Alyabyeva, Postgraduate Student
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022
O. V. Chastina
Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky
Russian Federation
Russian Federation
Olga V. Chastina, Medical Student
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022
N. A. Shnayder
Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky; V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology
Russian Federation
Russian Federation
Natalya A. Shnayder, Dr. Sci. (Med.), Professor, Leading Research Scientist
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022
3, Bekhtereva str., St.-Petersburg, 192019
M. M. Petrova
Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky
Russian Federation
Russian Federation
Marina M. Petrova, Dr. Sci. (Med.), Professor, Head of the Department of Outpatient Therapy and General Practice with Postgraduate Education Courses
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022
R. F. Nasyrova
V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology
Russian Federation
Russian Federation
Regina F. Nasyrova, Dr. Sci. (Med.), Chief Research Scientist
3, Bekhtereva str., St.-Petersburg, 192019
References
1. Arca K.N., Halker Singh R.B. The Hypertensive Headache: a Review. Curr. Pain Headache Rep. 2019;23(5):30. DOI: 10.1007/s11916-019-0767-z.
2. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd ed. Cephalalgia. 2004;24(1):9–160. DOI: 10.1111/j.1468-2982.2003.00824.x.
3. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders: 3rd ed. Cephalalgia. 2018;38(1):1–211. DOI: 10.1177/0333102417738202.
4. Cortelli P., Grimaldi D., Guaraldi P., Pierangeli G. Headache and hypertension. Neurol. Sci. 2004;25(3):132–134. DOI: 10.1007/s10072-004-0271-y.
5. Liman T., Siebert E., Endres M. Kopfschmerz und Bluthochdruck. Mythos und Evidenz. Nervenarzt. 2010;81(8):963–972. (In Germ.). DOI: 10.1007/s00115-010-2996-6.
6. Petrova M.M., Moskaleva P.V., Shnayder N.A., Nasyrova R.F. Comorbidity of arterial hypertension and tension-type headache. Kardiologiia. 2020;60(10):132–140 (In Russ.). DOI:10.18087/cardio.2020.11.n1363.
7. Muiesan M.L., Padovani A., Salvetti M., Monteduro C., Poisa P., Bonzi B. et al. Headache: Prevalence and relationship with office or ambulatory blood pressure in a general population sample (the Vobarno Study). Blood Press. 2006;15(1):14–19. DOI: 10.1080/08037050500436089.
8. He M., Yu S., Liu R., Yang X., Zhao G., Qiao X. et al. Elevated blood pressure and headache disorders in China-associations, under-treatment and implications for public health. J. Headache Pain. 2015;16:86. DOI: 10.1186/s10194-015-0570-0.
9. Grebe H.P., Nunes J., Diogo-Sousa L. El papel de la hipertensión arterial en la comorbilidad de las cefaleas crónica. Rev. Neurol. 2001;33(2):119–122. (In Spain.). DOI: 10.33588/rn.3302.2001108.
10. Jamal S.T., Sharma P.N., Ramadan F.A., Boshehri F.S. Headache and blood pressure in primary health care setting in Kuwait. Saudi Med. J. 2004;25(12):1849–1854.
11. Prudenzano M.P., Monetti C., Merico L., Cardinali V., Genco S., Lamberti P. et al. The comorbidity of migraine and hypertension. A study in a tertiary care headache centre. J. Headache Pain. 2005;6(4):220–222. DOI: 10.1007/s10194-005-0190-1.
12. Pietrini U., De Luca M., De Santis G. Hypertension in headache patients? A clinical study. Acta Neurol. Scand. 2005;112(4):259–264. DOI: 10.1111/j.1600-0404.2005.00476.x.
13. Gipponi S., Venturelli E., Rao R., Liberini P., Padovani A. Hypertension is a factor associated with chronic daily headache. Neurol. Sci. 2010;31(1):S171–173. DOI: 10.1007/s10072-010-0322-5.
14. Tomaszewski M., Łacka B., Zukowska-Szczechowska E., Grzeszczak W., Gosek K. Ocena zalezności pomiedzy wystepowaniem bólów głowy i stosowaniem leków przeciwbólowych a realizacja zaleceń terapeutycznych wśród chorych na nadciśnienie tetnicze. Przegl Lek. 2000;57(11):639–642.
15. Kruszewski P., Bieniaszewski L., Neubauer J., Krupa-Wojciechowska B. Headache in patients with mild to moderate hypertension is generally not associated with simultaneous blood pressure elevation. J. Hypertens. 2000;18(4):437–444. DOI: 10.1097/00004872-200018040-00013.
16. Gus M., Fuchs F.D., Pimentel M., Rosa D., Melo A.G., Moreira L.B. Behavior of ambulatory blood pressure surrounding episodes of headache in mildly hypertensive patients. Arch. Intern. Med. 2001;161(2):252–255. DOI: 10.1001/archinte.161.2.252.
17. Parfenov V.A., Alekseev V.V., Shvareva N.S., Ryzhak A.A. Headache in patients with arterial hypertension. Clinical Gerontology. 2001;6(5):3–9. (In Russ.).
18. Fuchs F.D., Gus M., Moreira L.B., Moreira W.D., Gonçalves S.C., Nunes G. Headache is not more frequent among patients with moderate to severe hypertension. J. Hum. Hypertens. 2003;17(11):787–790. DOI: 10.1038/sj.jhh.1001621.
19. Mamedova Z.D., Fateeva T.G., Parfenov V.A. Headaches in patients with arterial hypertension and hypertensive crises. Neurological Journal. 2013;2:28–31. (In Russ.).
20. Parfenov V.A., Ostroumova T.M., Ostroumova O.D., Pavleyva E.E. Features of the clinical picture in patients of middle age with essential hypertension. Ter. Akrh. 2018;90(9):15–26. (In Russ.). DOI: 10.26442/terarkh201890915-26.
21. Tokar O.O., Zhmerenetsky K.V., Zadneprovskaya V.V., Nevrycheva E.V. Evaluation of extracranial and intracranial arterial circulation in young patients with arterial hypertension accompanied by migraine or tension- type headache. Far Eastern Medical Journal. 2020;(1):28–36 (In Russ.). DOI: 10.35177/1994-5191-2020-1-28-36.
22. Hagen K., Stovner L.J., Vatten L., Holmen J., Zwart J.A., Bovim G. Blood pressure and risk of headache: А prospective study of 22 685 adults in Norway. J. Neurol. Neurosurg. Psychiatry. 2002;72(4):463–466. DOI: 10.1136/jnnp.72.4.463.
23. Tronvik E., Zwart J.A., Hagen K., Dyb G., Holmen T.L., Stovner L.J. Association between blood pressure measures and recurrent headache in adolescents: cross-sectional data from the HUNT-Youth study. J. Headache Pain. 2011;12(3):347–353. DOI: 10.1007/s10194-011-0304-x.
24. Fagernaes C.F., Heuch I., Zwart J.A., Winsvold B.S., Linde M., Hagen K. Blood pressure as a risk factor for headache and migraine: a prospective population-based study. Eur. J. Neurol. 2015;22(1):156–162. DOI: 10.1111/ene.12547.
25. Ghione S. Hypertension-associated hypalgesia. Evidence in experimental animals and humans, pathophysiological mechanisms, and potential clinical consequences. Hypertension. 1996;28(3):494–504. DOI: 10.1161/01.hyp.28.3.494.
26. Saccò M., Meschi M., Regolisti G., Detrenis S., Bianchi L., Bertorelli M. et al. The relationship between blood pressure and pain. J. Clin. Hypertens. (Greenwich). 2013;15(8):600–605. DOI: 10.1111/jch.12145.
27. De la Coba P., Bruehl S., Garber J., Smith C.A., Walker L.S. Is resolution of chronic pain associated with changes in blood pressure-related hypoalgesia? Ann. Behav. Med. 2018;52(7):552–559. DOI: 10.1093/abm/kax021.
28. Finocchi C., Sassos D. Headache and arterial hypertension. Neurol. Sci. 2017;38(1):67–72. DOI: 10.1007/s10072-017-2893-x.
29. Shnayder N.A., Petrova M.M., Moskaleva P.V., Shesternya P.A., Pozhilenkova E.A., Nasyrova R.F. The Role of single-nucleotide variants of NOS1, NOS2, and NOS3 genes in the comorbidity of arterial hypertension and tension-type headache. Molecules. 2021;26(6):1556. DOI: 10.3390/molecules26061556.
30. James P.A., Oparil S., Carter B.L., Cushman W.C., Dennison-Himmelfarb C., Handler J. et al. 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507–520. DOI: 10.1001/jama.2013.284427.
31. Ekusheva E.V. Current approaches to therapy of chronic daily headache. Siberian Medical Review. 2017;(1):93–98. (In Russ.). DOI: 10.20333/2500136-2017-1-93-98.
Review
For citations:
Alyabyeva P.V., Chastina O.V., Shnayder N.A., Petrova M.M., Nasyrova R.F. Tension-type headache and hypertension phenotype: Myth or reality. Siberian Journal of Clinical and Experimental Medicine. 2022;37(3):29-40. (In Russ.) https://doi.org/10.29001/2073-8552-2022-37-3-29-40
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