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ASSOCIATION OF HYPERTENSION WITH EPISTAXIS: A SINGLE CENTER STUDY

Muhammad Awais Javed, Saba Ramzan, Riaz, Saad Javaid, Ammad javaid Chaudhary, Muhammad Ahsan

Introduction/Background: Epistaxis is defined as hemorrhage from inside the nose. Many patients are presented in hospital with epistaxis due to traumatic and non-traumatic causes, with or without the systemic diseases. Most of the patients with epistaxis give history of hypertension and already taking anti-hypertensive drugs. Objective: To establish the role of hypertension in cases of epistaxis. Material and method: Study design: Prospective study Settings: Department of Otorhinolaryngology, E.N.T. Unit-I, Allied hospital/ Faisalabad Medical University, Faisalabad. Duration: Three months i.e. from 16-01-2019 to 15-04-2019. Sample size: 60 Procedure: 60 patients were enrolled according to inclusive and exclusive criteria. History of the patients presented with epistaxis was taken regarding co-morbidities especially related to hypertension. Blood pressure was recorded at time of admission, with patients totally unaware of the reading. Then every 30 min, reading of blood pressure was taken and in this way 5 readings were taken, and average value was obtained. The average value of >140/90 mmHg was taken as standard to categorize the patient with high blood pressure. Frequency and percentage calculated for data and chi-square test applied and level of <0.05 taken significant. Results: 60 patients enrolled with age range from 5-75 years and mean age as 39.53 years. Out of 60 patients, 34 were male and 26 were females. Out of 60 patients, 24 patients (40%) who presented with epistaxis were hypertensive and presented with high blood pressure and 36 patients (60%) were normotensive and presented with normal blood pressure. Conclusion: Based upon results of this study, it is concluded that there is no significant relationship between hypertension and epistaxis and raised blood pressure is not significant factor in initiating the epistaxis. Key Words: Epistaxis, Hypertension.

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