Migraine and other headaches: associations with Rose angina and coronary heart disease.

OBJECTIVE: To examine the association between a lifetime history of migraines and other headaches with and without aura and Rose angina and coronary heart disease (CHD). METHODS: Participants were 12,409 African American and white men and women from the Atherosclerosis Risk in Communities Study, categorized by their lifetime history of headaches lasting > or =4 hours (migraine with aura, migraine without aura, other headaches with aura, other headaches without aura, no headaches). Gender-specific associations of headaches with Rose angina and CHD, adjusted for sociodemographic and cardiovascular disease risk factors, were evaluated using Poisson regression. RESULTS: Participants with a history of migraines and other headaches were more likely to have a history of Rose angina than those without headaches. The associations were stronger for migraine and other headaches with aura (prevalence ratio [PR] = 3.0, 95% CI = 2.4, 3.7 and PR = 2.0, 95% CI = 1.5, 2.7 for women; PR = 2.2, 95% CI = 1.2, 3.9 and PR = 2.4, 95% CI = 1.4, 3.9 for men) than for migraine and other headaches without aura (PR = 1.5, 95% CI = 1.2, 1.9 and PR = 1.3, 95% CI = 1.1, 1.6 for women; PR = 1.9, 95% CI = 1.2, 2.9 and OR = 1.4, 95% CI = 1.0, 1.8 for men). In contrast, migraine and other headaches were not associated with CHD, regardless of the presence of aura. CONCLUSIONS: The lack of association of migraines with coronary heart disease suggests that the association of migraine with Rose angina is not related to coronary artery disease. Future research assessing other common underlying pathologic mechanisms is warranted.

Effects of an angry temperament on coronary heart disease risk : The Atherosclerosis Risk in Communities Study.

The objective of the study was to determine which component of an anger-prone personality more strongly predicts coronary heart disease (CHD) risk. Proneness to anger, as assessed by the Spielberger Trait Anger Scale, is composed of two distinct subcomponents-anger-temperament and anger-reaction. Participants were 12,990 middle-aged Black men and women and White men and women from the Atherosclerosis Risk in Communities Study who were followed for the occurrence of acute myocardial infarction (MI)/fatal CHD, silent MI, or cardiac revascularization procedures (average = 53 months; maximum = 72 months) through December 31, 1995. Among normotensive persons, a strong, angry temperament (tendency toward quick, minimally provoked, or unprovoked anger) was associated with combined CHD (acute MI/fatal CHD, silent MI, or cardiac revascularization procedures) (multivariate-adjusted hazard ratio = 2.10, 95% confidence interval: 1.34, 3.29) and with 'hard" events (acute MI/fatal CHD) (multivariate adjusted hazard ratio = 2.28, 95% confidence interval: 1.29, 4.02). CHD event-free survival among normotensives who had a strong, angry temperament was not significantly different from that of hypertensives at either level of anger. These data suggest that a strong, angry temperament rather than anger in reaction to criticism, frustration, or unfair treatment places normotensive, middle-aged persons at increased risk for cardiac events and may confer a CHD risk similar to that of hypertension.

Kinematic analysis of a novel feeding mechanism in the brook trout Salvelinus fontinalis (Teleostei: Salmonidae): behavioral modulation of a functional novelty.

The tongue-bite apparatus (TBA) of salmonids represents an impressive novel feeding mechanism. The TBA consists of a set of well-developed teeth on the dorsal surface of the anterior hyoid (basihyal) and an opposing set of teeth on the roof of the mouth (vomer). A kinematic analysis of behaviors associated with the TBA in the brook trout Salvelinus fontinalis was performed using high-speed video (250 frames s(-1)). Two distinct behaviors were identified, raking and open-mouth chewing. Univariate analysis demonstrated that these behaviors were significantly different from one another. The power stroke of raking is characterized by significantly greater neurocranial elevation (raking, 36 degrees; open-mouth chewing, 16 degrees ) and retraction of the pectoral girdle (raking, 0.85 cm or 21 % of head length; open-mouth chewing, 0.41 cm or 10 % of head length). Open-mouth chewing is characterized predominantly by dorso-ventral excursions of the anterior hyoid (open-mouth chewing, 0.26 cm; raking, 0.14 cm). Raking is significantly shorter in duration (mean 49 ms) than open-mouth chewing (mean 77 ms). When presented with three different types of prey (crickets, fish or worms), Salvelinus fontinalis showed no variation in raking behavior, indicating that raking is highly stereotyped. In contrast, when feeding on worms, Salvelinus fontinalis modulated open-mouth chewing behavior with shorter durations to maximum displacement (at least 20 ms shorter than for either fish or cricket), although the magnitude of displacements did not vary. The reasons for the shorter duration of displacement variables while feeding on worms remains unclear. During post-capture processing behaviors in Salvelinus fontinalis, the magnitude of displacement variables is highly variable between individuals, but temporal patterns are not. This study characterizes two novel post-capture feeding behaviors and modulation of those behaviors in salmonids.

Evolution of motor patterns: aquatic feeding in salamanders and ray-finned fishes.

Patterns of muscle activity (motor patterns) have generally been found to be strongly conserved during the evolution of aquatic feeding behavior within closely related groups of fishes and salamanders. We conducted a test of the generality of motor pattern conservation with a much broader phylogenetic scope than has been done previously. Activity patterns of three cranial muscles were quantified from electromyographic (EMG) recordings made during suction feeding in a salamander (Ambystoma mexicanum) and 4 widely divergent species of ray-finned fishes (Amia calva, Notopterus chitala, Micropterus salmoides and Lepomis macrochirus). General features of the motor pattern were the same in all species, but multivariate and univariate analyses of variance revealed highly significant differences among the 5 species in the average muscle activity pattern, indicating that the motor pattern has not been precisely conserved among these 5 taxa. Five of eight EMG variables that describe the intensity and timing of muscle activity differed among species. Only the intensity of activity of the adductor mandibulae appears to be a strongly conserved feature of the suction feeding motor pattern in anamniotes. A discriminant function analysis of the 8 EMG variables successfully classified about two thirds of the feeding incidents as belonging to the correct species. In contrast to the results of previous studies of closely related taxa, we found that numerous quantitative differences exist among species, indicating that functionally significant details of suction feeding motor patterns have changed during evolution, whereas several general features of the pattern have been conserved.