The significance of atherosclerosis in hypertensive patients with epistaxis

被引：12

作者：

Elwany, S. ^{[1
]}

Ibrahim, A. A. ^{[1
]}

Soliman, A., I ^{[1
]}

Bazak, R. ^{[1
]}

Ibrahim, H. A. ^{[2
]}

机构：

[1] Alexandria Fac Med, Dept Otolaryngol, Alexandria, Egypt

[2] Alexandria Fac Med, Dept Ophthalmol, Alexandria, Egypt

来源：

JOURNAL OF LARYNGOLOGY AND OTOLOGY | 2018年 / 132卷 / 04期

关键词：

Hypertension; Epistaxis; Retina; Atherosclerosis; Cholesterol; RETINAL ARTERIOLAR; ASSOCIATION; RETINOPATHY; POPULATION;

D O I：

10.1017/S0022215118000221

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: The relationship between hypertension and epistaxis is controversial and poorly understood. The present research investigated atherosclerosis as a potential risk factor in hypertensive patients with epistaxis. Methods: A prospective study of 141 hypertensive patients with epistaxis was conducted. The laboratory tests included full blood count, lipid profile and coagulation profile. All patients underwent funduscopic examination of the eye and were classified in terms of four retinopathy grades. Results: There were strong positive correlations between the number of nosebleeds and retinopathy grade and low-density lipoprotein cholesterol level. There were weak correlations between the number of nosebleeds and blood pressure readings and triglycerides levels. Patients with grade III retinopathy, suggesting atherosclerosis, suffered from more frequent nosebleeds than other patients. Conclusion: Atherosclerosis is one of the potential risk factors in hypertensive patients with epistaxis. This may have an impact on treatment choices.

引用

页码：323 / 326

页数：4

共 24 条

[1]

Charan Jaykaran, 2013, Indian J Psychol Med, V35, P121, DOI 10.4103/0253-7176.116232

[2] Influence of air temperature variations on incidence of epistaxis [J].

Comelli, Ivan ;

Vincenti, Vincenzo ;

Benatti, Mario ;

Macri, Gian Franco ;

Comelli, Denis ;

Lippi, Giuseppe ;

Cervellin, Gianfranco .

AMERICAN JOURNAL OF RHINOLOGY & ALLERGY, 2015, 29 (06) :E175-E181

[3] Absence of association between hypertension and epistaxis: a population-based study [J].

Fuchs, FD ;

Moreira, LB ;

Pires, CP ;

Torres, FS ;

Furtado, MV ;

Moraes, RS ;

Wiehe, M ;

Fuchs, SC ;

Neto, JFL .

BLOOD PRESSURE, 2003, 12 (03) :145-148

[4] Inpatient management of epistaxis: Outcomes and cost [J].

Goddard, JC ;

Reiter, ER .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2005, 132 (05) :707-712

[5]

Gunn M., 1898, Trans Ophthalmol Soc UK, V18, P356

[6] Active epistaxis at ED presentation is associated with arterial hypertension [J].

Herkner, H ;

Havel, C ;

Müllner, M ;

Gamper, G ;

Bur, A ;

Temmel, AF ;

Laggner, AN ;

Hirschl, MM .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2002, 20 (02) :92-95

[7] Hypertension in patients presenting with epistaxis [J].

Herkner, H ;

Laggner, AN ;

Müllner, M ;

Formanek, M ;

Bur, A ;

Gamper, G ;

Woisetschläger, C ;

Hirschl, MM .

ANNALS OF EMERGENCY MEDICINE, 2000, 35 (02) :126-130

[8] EFFECT OF ATHEROSCLEROSIS AND HYPERTENSION ON ARTERIAL EPISTAXIS [J].

IBRASHI, F ;

SABRI, N ;

ELDAWI, M ;

BELAL, A .

JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1978, 92 (10) :877-881

[9] Are retinal arteriolar or venular diameters associated with markers for cardiovascular disorders? The Rotterdam Study [J].

Ikram, MK ;

de Jong, FJ ;

Vingerling, JR ;

Witteman, JCM ;

Hofman, A ;

Breteler, MMB ;

de Jong, PTVM .

INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2004, 45 (07) :2129-2134

[10]

Isezuo SA, 2008, NIGER J CLIN PRACT, V11, P379

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