International Journal of Contemporary Medicine
  • Year: 2017
  • Volume: 5
  • Issue: 2

A Review Article: Hypertension and Epistaxis A Co-Relation

1Post Graduate 1st Year, Department of Medicine, Saraswathi Institute of Medical Sciences, Hapur (U.P)

2Assistant Professor, Department of ENT, Saraswathi Institute of Medical Sciences, Hapur (U.P)

3Associate Professor, Department of ENT, Saraswathi Institute of Medical Sciences, Hapur (U.P)

*Corresponding Author: Jagjit Rattu, Post Graduate 1st Year, Department of Medicine, Saraswathi Institute of Medical Sciences, Hapur (U.P) Phone: 8057421180. Email: dr.jagjitrattu@gmail.com

Online published on 18 January, 2018.

Abstract

Epistaxis is the most common otorhinolaryngological emergency. Whether there is an association relationship between epistaxis and hypertension is a subject of longstanding controversy.

The aim of our study is to evaluate the relationship between epistaxis and hypertension.

This study was conducted at Saraswathi Institute of Medical Sciences (Hapur,U.P) during the period between June 2016 and January 2017. A total of 40 patients were divided into two groups: Group A consisted of 20 patients who presented with epistaxis, and Group B consisted of 20 patients who served as a control group. Patients were followed up for a period of two months.

Readings of blood pressure (BP) were similar between the two groups regarding BP at presentation, ABPM, and BP at two months. There was a higher number of attacks in patients with history of hypertension. There was highly significant positive correlation between number of attacks of epistaxis and BP readings. Systolic BP at presentation was higher in patients who needed more complex interventions such as pack or cautery than those managed by first aid.

We found no definite association between epistaxis and hypertension. Epistaxis was not initiated by high BP but was more difficult to control in hypertensive patients.

Keywords

Hypertension, Epistaxis, Ambulatory Monitoring