Journal of Clinical Otolaryngology Head and Neck Surgery (임상이비인후과)

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회 부산,울산,경남 지부회)
권호 표지

Relationship between Chronic Rhinosinusitis and Blood Pressure

비부비동염과 혈압의 상관관계

  • Seo, Youn Tae (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Daegu) ;
  • Kim, Deok Su (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Daegu) ;
  • Kil, Bu Kwan (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Daegu) ;
  • Shin, SeungHeon (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Daegu) ;
  • Ye, Mi Kyung (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Daegu)
  • 서윤태 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김덕수 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 길부관 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 신승헌 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 예미경 (대구가톨릭대학교 의과대학 이비인후과학교실)
  • Received : 2018.09.13
  • Accepted : 2018.11.29
  • Published : 2018.12.30

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Abstract

Background and Objectives : There were few literatures about the relationship between upper airway disorders and cardiovascular risk factors such as hypertension, although an association between impaired lower respiratory function and cardiovascular alterations was often reported. Our purpose was to assess the relationships between chronic sinusitis and hypertension. Materials and Methods : Three hundred subjects with bilateral chronic sinusitis who underwent functional endoscopic sinus surgery between 2015and 2017 were evaluated. Six hundred forty subjects without any nasal diseases were enrolled as a control group. Blood pressure and body mass index (BMI) were measured using a standardized method, and subjects were asked about current use of any antihypertensive medication, history of diabetes, smoking and alcohol drinking habits.Sinusitis group was assessed by nasal endoscopic examination, paranasal sinus CT scan and allergy test. Results : Average systolic and diastolic blood pressures were statistically significantly higher in subjects with sinusitis than control group. Chronic rhinosinusitis was associated with a 1.415-fold (95% confidence interval 1.053-1.930) increased hazard of hypertension after multivariate adjustment. Conclusions : These results suggest that sinusitis is associated with high blood pressure. Therefore patients with sinusitis may need special attention for blood pressure control. Further studies need to be performed to elucidate the pathogenesis behind such associations.

Keywords

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