Epistaxis of patients admitted in the emergency department is not indicative of underlying arterial hypertension

Abstract

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.