Epistaxis and Clinic Blood Pressure Values: Is There a Relationship?
High Blood Press Cardiovasc Prev
; 2024 Sep 18.
Article
in En
| MEDLINE
| ID: mdl-39289332
ABSTRACT
INTRODUCTION:
Epistaxis is the most common otorhinolaryngological emergency and historically there have been an important debate whether there is a cause-effect relationship with high blood pressure.AIM:
This retrospective study explored whether hypertension is a significant risk factor for epistaxis in Emergency Department (ED) patients and examined associations between blood pressure levels and epistaxis episodes. MATERIALS ANDMETHODS:
Two groups were studied Group A (patients with epistaxis) and Group B (control). Patient characteristics, comorbidities, and medication use were recorded. Blood pressure measurements were taken upon ED arrival and after specialist evaluation. Statistical analyses included descriptive statistics, T-test, χ2 test, and logistic regression.RESULTS:
Group A, enrolled from April 2014 to February 2015, included 102 patients, mean age 67, male-female ratio 21. Blood pressure on arrival was over 140/90 mmHg in 73%, decreasing to 26% after 30 minutes. Group B, enrolled from May 2023 to August 2023, included 126 patients, mean age 59, male-female ratio 21. Blood pressure on arrival was over 140/90 mmHg in 60%, decreasing to 23% after 30 minutes. Both groups showed reduced blood pressure post-evaluation. Logistic regression identified anticoagulant and/or antiplatelet therapy as the main independent risk factor for epistaxis. Age, sex, blood pressure levels, and hypertension did not significantly influence epistaxis occurrence.CONCLUSION:
No significant correlation between hypertension and epistaxis was found. Anticoagulant and/or antiplatelet therapy was the primary independent risk factor, highlighting the importance of considering medication history in evaluating epistaxis.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
High Blood Press Cardiovasc Prev
Year:
2024
Document type:
Article
Affiliation country:
Italy
Country of publication:
New Zealand