Is High Blood Pressure an Aetiological Factor in Epistaxis?

Abstract

In the present investigation, 391 men born in 1913 were examined. The blood pressure was registered in a standardized way and the subjects were questioned about epistaxis. The aim of the investigation was to analyze whether habitual nose-bleeders or subjects with recent bleedings had higher blood pressure than the other subjects in the population study. All attempts to find a correlation between epistaxis and elevated (or high) blood pressure were unsuccessful. When high blood pressure is found in a patient with nose-bleeds it is probably an incidental finding and not an aetiological factor.

Is Epistaxis Evidence of End‐Organ Damage in Patients With Hypertension?

“…We also did not find any association between those classifications of blood pressure and severe epistaxis. In this regard our results suggest that the absence of association observed in studies that included participants with normal and high blood pressure 7,18,20,21 persists in patients classified in different stages of hypertension.…”

Occurrence of Epistaxis in Habitual Nose-Bleeders and Analysis of Some Etiological Factors

“…Subsequent authors have not been able to find any correlation between epistaxis and hypertension [21,22]. In this study, the blood pressure distribution of the habitual bleeders was the same as that of the popula tion samples used for comparison.…”

Risk factors for recurrent epistaxis: Importance of initial treatment

“…The relationship between hypertension and epistaxis is also unconfirmed. Although some studies have found a correlation between hypertension and epistaxis [2,[15][16][17][18], others have ruled it out [9,10,[19][20][21]. Another report identified longstanding hypertension as increasing the risk of epistaxis [20].…”