Relationship between Epistaxis and Hypertension
Kerbala Journal of Medicine,
Volume 9, Issue 1, Pages 2403-2407
Abstractbackground: Epistaxis is a common symptom of diverse conditions which may present as mild recurrent bleeds or severe life threatening rhinological emergency. Children and adolescent are more often afflicted with minor episodes of anterior epistaxis, whereas the incidence of severe posterior epistaxis is greater in those who are more than 50 years old. Hypertension has been considered to be a major cause of spontaneous epistaxis for a long time. However, particularly in the recent medical literatures, the relationship between hypertension and epistaxis appears to be more controversial.
Objectives: To evaluate the relationship between hypertension and epistaxis and to compare the prevalence of the epistaxis in hypertensive patients with normotensive patients.
Methods: A prospective study was carried out on 101 hypertensive patients (group A) and 152 normotensive patients (group B) who served as a control group at Department of Medicine and ENT, Al-Hussian Teaching Hospital, Karbala during the period January to July 2015. Data from epistaxis patients for both groups were collected.
Results: Out of total 101 hypertensive patients, 61 (60%) were males and 40 (40%) were females (M: F=1.5:1). The age range was 33 to 86 years with a mean age of 58 years. Twenty-seven out of 101 hypertensive patients were found to have epistaxis. The control group (group B) were 152 normotensive patients; 104 male and 48 female (M: F=2.2:1), and only 28 participants have a history of epistaxis. The prevalence of epistaxis was not significantly higher among patients with hypertension compared to those without hypertension.
Conclusions: We demonstrated that epistaxis was unlikely associated with hypertension, and that epistaxis was not initiated by high BP. However, epistaxis was more difficult to control in hypertensive patients.
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