Hypertension in patients presenting with epistaxis

Herkner, Harald; Laggner, Anton N.; Müllner, Marcus; Formanek, Michael; Bur, Andreas; Gamper, Gunnar; Woisetschläger, Christian; Hirschl, Michael M.

doi:10.1016/s0196-0644(00)70131-4

Cited by 77 publications

(82 citation statements)

References 11 publications

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“…Another controlled study provided a relationship between epistaxis and high blood pressure (13). In contrast, a crosssectional study in patients with hypertension found no independent association between the severity of epistaxis and hypertension (14).…”

Section: Discussionmentioning

confidence: 95%

Epistaxis in geriatric patients

Yüksel¹,

Kurtaran²,

Kankılıç³

et al. 2014

Turk J Med Sci

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We studied, for the first time, the age structure of Eremias strauchi strauchi (Kessler, 1878) from a sample (18 adults) of a population living in the vicinity of Iğdır (eastern Turkey) using the skeletochronological method. The maximum observed longevity was 7 years for males and 5 years for females. The age of males ranged from 4 to 7 years (mean 4.91, n = 12), while that of females ranged from 4 to 5 years (mean 4.66, n = 6). The average snout-vent length (SVL) was 61.10 mm in males and 60.82 mm in females. The differences in mean age and SVL between sexes were not statistically significant. Intersexual differences in body size were male-biased, but this state was not statistically significant. Age and SVL were positively correlated in both sexes.

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Section: Discussionmentioning

confidence: 95%

Epistaxis in geriatric patients

Yüksel¹,

Kurtaran²,

Kankılıç³

et al. 2014

Turk J Med Sci

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“…Increased arterial pressure causes injuries in perfused organs; the most sensitive are brain, arteries, kidneys and heart (14) . The clinical manifestations attributed to the arterial pressure rise are: epistaxis (15) , urinary alterations due to renal and retina injuries (16) . Among the dead animals it was observed urinary, nasal and ocular hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Influence of arterial hypertension treated with losartan on skin healing in rats

et al. 2006

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PURPOSE: To evaluate the role of Losartan in skin healing repair. METHODS: One hundred and eleven male Wistar rats were distributed into four groups, at random. Group I (n=31) underwent a laparotomy to induce hypertension by stenosis of the left renal artery, and 48 hours later it received Losartan (10 mg/Kg) daily. Group II (n=30) went through the same procedure and received isotonic saline solution. Group III (n=30) underwent a simulated laparotomy. Group IV (n=20) to confirm the induced hypertension method. Ketamine and Xylazin anesthesia was used in every painful/stressful procedure. After 15 days, skin healing repair was studied by a dorsal midline skin incision and second layer-skin incision in groups I, II and III, that was sutured in one layer with 4-0 nylon suture. Samples of the dorsal wall scar were taken 4, 7 and 14 days after the last procedure, and sent to strength and displacement analysis and histological preparation. RESULTS: By the 4th and 7th days of the analysis, group II scars showed to be less resistant than group III scars (p<0,05). The total amount of collagen was higher in group III on the three studied periods. The percentage occupied by total collagen in the wound area, on the 14th day, was lower in group I, due to its lower percentage of type I collagen CONCLUSION: Scars treated with Losartan were initially less resistant and had a lower collagen deposition.

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“…Herkner et al 12 mostrou uma média pressórica elevada em pacientes admitidos na emergência por epistaxe em relação às outras causas de admissão. No nosso estudo, 33% apresentaram HAS.…”

Section: Discussionunclassified

Ligadura endoscópica endonasal da artéria esfenopalatina para epistaxe severa

Santos

Leonhardt

Ferri

et al. 2002

Rev. Bras. Otorrinolaringol.

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Endoscopic endonasal ligation of the esphenopalatine artery for severe epistaxis Resumo / SummaryIntrodução: A epistaxe severa, geralmente associada a fatores predisponentes como hipertensão arterial sistêmica e coagulopatia, é uma doença desafiadora, e pode necessitar de uma abordagem cirúrgica nos casos que não respondem ao tratamento conservador, como cauterização e tamponamento nasal. Objetivo: avaliar os resultados da ligadura endoscópica endonasal da artéria esfenopalatina no tratamento da epistaxe severa refratária à abordagem terapêutica conservadora. Forma de estudo: Clínico prospectivo. Material e Método: foram avaliados doze casos de pacientes submetidos à ligadura endoscópica endonasal da artéria esfenopalatina no tratamento da epistaxe severa não responsiva ao tratamento conservador, observando-se a história clínica, os fatores predisponentes, a evolução e as complicações deste procedimento. Resultados: a idade média foi de 50,9 anos, e a distribuição por sexo foi de 33% do sexo feminino e 67% do sexo masculino; 33% apresentaram HAS e 16,6% coagulopatia (hepatopatia) como fatores predisponentes. Um paciente (8,3%) apresentou ressangramento após o procedimento cirúrgico. Discussão: a ligadura endoscópica endonasal da artéria esfenopalatina representa uma abordagem segura e garante um controle satisfatório do sangramento, com índice de ressangramento de 8,3% entre os nossos casos. Conclusão: a ligadura endoscópica endonasal da artéria esfenopalatina representa uma opção cirúrgica adequada, pois não apresenta as complicações das técnicas anteriores, atinge um controle satisfatório do sangramento e pode ser realizada por otorrinolaringologistas habituados à cirurgia endoscópica nasal.

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Hypertension in patients presenting with epistaxis

Cited by 77 publications

References 11 publications

Epistaxis in geriatric patients

Epistaxis in geriatric patients

Influence of arterial hypertension treated with losartan on skin healing in rats

Ligadura endoscópica endonasal da artéria esfenopalatina para epistaxe severa

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