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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Nose Bleeds. Has Heart Catheter Put In Recently. Cause?

My 86 yr. old dad had a heart catheter put in 2-2-13. The stent never did get in because the artery was calcified. On 2-3-13 he had a gusher nose bleed in the evening. He lives in Central Fla. He had another one on 2-4-13. That one didn t bleed as bad. My mom said in the 65 yrs. they have been married, my dad has never had a nose bleed and dad agreed. Is it a complication from the heart cath on 2-2?
Thu, 22 Aug 2013
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ENT Specialist 's  Response
hello and welcome to HCM,

A nose bleed when a heart catheter is placed can be due to many reasons, i will try to enumerate the common reasons for your information only. Since his bleeding has stopped then nothing to worry about but in case his bleeding has not stopped then you must consult an ENT and perform a full blood profiling including the coagulation profile and endoscopy and if necessary CT. The common reasons maybe:
1. Trauma anywhere during insetion
2. Elevated blood pressure which may be transient (meaning when you do measure it may be fine but in certain times it may spike at cause the bleed)
3. Any local problem in the nose which can be excluded by the ENT (like deviated nasal septum, bleeding polyp etc)
4. If he is a heart patient then he may be on drugs which tend to keep blood thin and vulnerable to bleed.
5. Any coagulation defects

these are the common cause though there may be a multitude of causes. Like i mentioned before you need to consult an ENT if the bleeding persists

take care

Dr Sriram Nathan
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Recurring Nose Bleeds. Has Heart Catheter Put In Recently. Cause?

hello and welcome to HCM, A nose bleed when a heart catheter is placed can be due to many reasons, i will try to enumerate the common reasons for your information only. Since his bleeding has stopped then nothing to worry about but in case his bleeding has not stopped then you must consult an ENT and perform a full blood profiling including the coagulation profile and endoscopy and if necessary CT. The common reasons maybe: 1. Trauma anywhere during insetion 2. Elevated blood pressure which may be transient (meaning when you do measure it may be fine but in certain times it may spike at cause the bleed) 3. Any local problem in the nose which can be excluded by the ENT (like deviated nasal septum, bleeding polyp etc) 4. If he is a heart patient then he may be on drugs which tend to keep blood thin and vulnerable to bleed. 5. Any coagulation defects these are the common cause though there may be a multitude of causes. Like i mentioned before you need to consult an ENT if the bleeding persists take care Dr Sriram Nathan