Evaluation of red blood cell distribution width and mean platelet volume levels in hypertensive and non-hypertensive epistaxis patients

Evaluation of red blood cell distribution width and mean platelet volume levels in hypertensive and non-hypertensive epistaxis patients

Aim: We investigated the development of epistaxis and the effect of red blood cell distribution (RDW) and mean platelet volume(MPV) levels in hypertensive patients compared to non-hypertensive patients. Epistaxis is an urgent rhinologic condition that maymanifest itself as recurrent hemorrhages in small quantities or life-threatening hemorrhages. It is known that epistaxis does notdevelop in every hypertensive patient.Material and Methods: In this retrospective study, the participants were divided into four groups as follows: Group 1 hypertensiveepistaxis, Group 2 isolated epistaxis, Group 3 isolated hypertension, Group 4 control. RDW and MPV values were obtained fromcomplete blood count (CBC) samples.Results: There was a statistically significant difference in RDW and MPV blood parameters between all groups (p=0.02). When RDWand MPV blood parameters of Group 1 with hypertensive epistaxis and Group 3 with isolated hypertension were evaluated, there wasa statistically significant difference between these two groups in both parameters (p = 0.000, p = 0.011).Conclusion: In our study, we showed that the decrease in RDW and MPV values among the hematological parameters increases theassociation of epistaxis with hypertension in hypertensive patients compared to non-hypertensive patients.

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  • 1. Sarhan NA, Algamal AM. Relationship between epistaxis and hypertension: A cause and effect or coincidence? J the Saudi Heart Association 2015;27:79-84.
  • 2. Agreda B, Urpegui Á, Alfonso JI, et al. Ligation of the sphenopalatine artery in posterior epistaxis. Retrospective study of 50 patients. Acta Otorrinolaringolog (English Edition) 2011;62:194-8.
  • 3. Chiu TW, Shaw-Dunn J, McGarry GW. Woodruff’s plexus. J Laryngol Otol 2008;122:1074-7.
  • 4. Lippi G, Salvagno GL, Danese E. Variation of red blood cell distribution width and mean platelet volume after moderate endurance exercise. Adv Hematol 2014;2014:192173.
  • 5. Kemal O, Müderris T, Sevil E, et al. Relation of mean platelet volume and red blood cell distribution width with epistaxis. Laryngoscope 2015;125:788-90.
  • 6. 6. Feng X, Zhang JY, Jiang L, et al. In reference to Relation of mean platelet volume and red blood cell distribution width with epistaxis.Laryngoscope 2015;125:223.
  • 7. Bezgin SÜ, Çakabay T, Al IO. Assessment of red blood cell distribution width and mean platelet volume in children with epistaxis. Int J Pediatr Otorhinolaryngol 2017;95:20-3.
  • 8. Karabulut AE, Çevik Y, Emektar E, et al. Analysis of mean platelet volume and red blood cell distribution width in recurrent epistaxis. Turk J Emerg Med 2018;18:67-70.
  • 9. Aksakal C, Şahin M. Evaluation of neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in recurrent epistaxis in childhood: case controlled study. Pan Afr Med 2019;32:154.
  • 10. Herkner H, Laggner AN, Müllner M, et al. Hypertension in patients presenting with epistaxis. Ann Emerg Med 2000;35:126-30.
  • 11. Fuchs FD, Moreira LB, Pires CP, et al. Absence of association between hypertension and epistaxis: a population-based study. Blood pressure 2003;12:145- 8.
  • 12. Weber MA, Schiffrin EL, White WB, et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens 2014;16:14-26.
  • 13. Yadav R, Bhartiya JP, Verma SK, et al. Evaluation of blood urea, creatinine and uric acid as markers of kidney functions in hypertensive patients: a prospective study.Indian J Med Res 2014;3:682-9.
  • 14. Mancia G, De Backer G, Dominiczak A, et al. 2007 Guidelines for the management of arterial hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J 2007;28:1462-536.
  • 15. Celik T, Iyisoy A, Yuksel UC, et al. A new evidence of end-organ damage in the patients with arterial hypertension: epistaxis? Int J Cardiol 2010;141:105-7.
  • 16. Kikidis D, Tsioufis K, Papanikolaou V, et al. Is epistaxis associated with arterial hypertension? A systematic review of the literature.Eur Arch Otorhinolaryngol 2014;271:237-43.
  • 17. Middleton PM. Epistaxis. Emerg Med Australas 2004;16:428-40.
  • 18. Sunbul M, Gerin F, Durmus E, et al. Neutrophil to lymphocyte and platelet to lymphocyte ratio in patients with dipper versus non-dipper hypertension. Clin Exp Hypertens 2014;36:217-21.
  • 19. Doğruyol S, Korçak MF, Özpolat Ç, et al. Epistaxis in emergency room: Is routine blood work always necessary? Bosphorus Medical J 2017;4:89-94.
Annals of Medical Research-Cover
  • Yayın Aralığı: 12
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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