Association between epistaxis and hypertension: A one year follow-up after an index episode of nose bleeding in hypertensive patients

Knopfholz, José; Lima-Junior, Emilton; Précoma-Neto, Daniel; Faria-Neto, José Rocha

doi:10.1016/j.ijcard.2008.01.018

Cited by 44 publications

(29 citation statements)

References 5 publications

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“…Hypertension has been considered to be a major cause for epistaxis for a long time [7]. However, association between the two conditions is controversial [8,9]. Data from the present study found that the presence of hypertension increased the risk of postoperative epistaxis after NES.…”

Section: Discussionmentioning

confidence: 48%

Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Zeng

et al. 2014

Acta Oto-Laryngologica

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Section: Discussionmentioning

confidence: 48%

Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Zeng

et al. 2014

Acta Oto-Laryngologica

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“…It is not clear whether epistaxis is a result of HT or it is the reason for HT because it causes anxiety (17,18). The incidence of concomitant HT in patients undergoing TESPAL ranges from 30 to 60% (8,9,11,12).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Sphenopalatine Artery Ligation in Posterior Epistaxis: Retrospective Analysis of 30 Patients

İsmi¹,

Vayısoğlu²,

Özcan³

et al. 2016

Turk Arch Otorhinolaryngol

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Objective: Although posterior epistaxis is rarely seen, it is an important medical problem that both decreases the quality of life of the patient and causes difficulties in the management for otorhinolaryngologists. In this study, we aimed to present the results of 30 patients who underwent transnasal endoscopic sphenopalatine artery ligation (TESPAL) for posterior epistaxis in our department. Methods:The records of 30 patients who underwent TESPAL from January 2014 to April 2016 were analyzed retrospectively, and the relationship between perioperative factors and need for revision surgery was assessed. Results:The success rate of TESPAL in posterior epistaxis was 90%. There was no relationship between surgical failure and antiaggregant use (p=0.224), anticoagulant use (p=0.534), hypertension (p=0.564), previous nasal surgery (p=0.279), and bilateral TESPAL application (p=0.279). TESPAL was seen to be effective in cases with Osler-Weber-Rendu disease, pregnancy, and uncontrollable epistaxis after rhinoplasty surgery. Mortality was seen in one of our patients not related to endoscopic ligation in the follow-up period. Conclusion:TESPAL is an effective method in the treatment of posterior epistaxis. Hypertension, antiaggregant or anticoagulant use, bilateral sphenopalatine artery ligation, and previous nasal surgery do not seem to be factors leading to surgical failure.

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“…Knopfholz et al [15] in a series of 36 patients, concluded that the incidence of epistaxis in hypertensive patients was not associated with the severity of hypertension. Moreover, BP readings in the setting of epistaxis were similar to those obtained in routine settings.…”

Section: Association Between Epistaxis and Hypertensionmentioning

confidence: 98%

“…Only statistical associations between hypertension and epistaxis have been reported [7][8][9][10][11][12][13][14][15][16].…”

Section: Etiologies Of Epistaxismentioning

confidence: 99%

“…Hypertension has been considered to be a major cause of spontaneous epistaxis for a long time [7,8]. However, particularly in the recent medical literature, the relationship between hypertension and epistaxis appears to be more controversial [9][10][11][12][13][14][15][16]. This retrospective study concerning 219 patients hospitalized for serious spontaneous epistaxis was designed to elucidate the role of hypertension in these patients managed in a university hospital ENT and Head and Neck Surgery department.…”

Section: Introductionmentioning

confidence: 99%

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Serious spontaneous epistaxis and hypertension in hospitalized patients

Page

Biet

Liabeuf

et al. 2011

Eur Arch Otorhinolaryngol

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The aim of the study was to evaluate the role of hypertension in patients hospitalized for serious spontaneous epistaxis. This 6-year retrospective study was based on 219 patients hospitalized in a University Hospital ENT and Head and Neck surgery department for serious spontaneous epistaxis. The following parameters were recorded: length of hospital stay, history of hypertension, blood pressure (BP) recordings (on admission, during hospitalization and on discharge), epistaxis severity criteria, including medical and/or surgical management of epistaxis (blood transfusion depending on blood count, embolization, surgery), medications affecting clotting. Epistaxis was classified into two groups: serious and severe. No significant differences were observed between the two groups in terms of age, sex ratio, history of epistaxis and BP characteristics including history of hypertension, mean BP on admission, mean arterial pressure on discharge and number of patients in whom BP was difficult to control. Patients with more severe epistaxis had a similar exposure to anticoagulant and platelet antiaggregant medications as patients with less severe epistaxis. Overall, on univariate logistic regression analysis, no factors were independently associated with severity of epistaxis. The pathophysiology of serious spontaneous epistaxis remains to be unclear. It concerns elderly patients (>60-70 years old) with a history of hypertension in about 50% of cases. Serious spontaneous epistaxis may also be the presenting sign of underlying true hypertension in about 43% of patients with no history of hypertension. However, hypertension per se does not appear to be a statistically significant causal factor and/or a factor of severity of serious spontaneous epistaxis.

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Association between epistaxis and hypertension: A one year follow-up after an index episode of nose bleeding in hypertensive patients

Cited by 44 publications

References 5 publications

Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Endoscopic Sphenopalatine Artery Ligation in Posterior Epistaxis: Retrospective Analysis of 30 Patients

Serious spontaneous epistaxis and hypertension in hospitalized patients

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