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Rhinology ; 47(3): 260-3, 2009 09.
Article de Anglais | MEDLINE | ID: mdl-19839247

RÉSUMÉ

OBJECTIVE: To assess the association between epistaxis and arterial hypertension. METHODS: A prospective study was conducted in 80 patients admitted in the emergency department, 42 with epistaxis and 38 well-matched controls. Blood pressure was measured upon admission and by continuous 24-hour ambulatory monitoring on the following days. RESULTS: Estimated values upon admission did not differ between groups. A definitive diagnosis of hypertension was set in 18 patients admitted for epistaxis (42.9%) and in 11 controls (28.9%, p = NS). Systolic pressures during the 24-hour recording period, systolic pressures during day and diastolic pressures during night were significantly higher among patients admitted for epistaxis than among controls. CONCLUSIONS: Although studies with larger series of patients are mandatory, epistaxis does not seem to result from underlying arterial hypertension.


Sujet(s)
Épistaxis/étiologie , Hypertension artérielle/complications , Adulte , Sujet âgé , Surveillance ambulatoire de la pression artérielle , Service hospitalier d'urgences , Femelle , Humains , Mâle , Adulte d'âge moyen , Études prospectives
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