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.

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http://dx.doi.org/10.4193/Rhin08.157DOI Listing

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