Does Vertigo Predict Hypertension in Cervical Spondylosis Clinical Trail Study

Abstract

Background: Both cervical spondylosis and hypertension are common medical conditions. That is whether spondylosis leads to hypertension and whether vertigo could predict hypertension is not clear. Objective: To identify the relationship between cervical spondylosis & systemic hypertension through identification of probable predictors. Patient and Method: All patients were seen in AlMowasat outpatient clinic from January 2017 to August 2019 with symptomatic cervical spondylosis. All of them were evaluated for presence of hypertension along with signs and symptoms of cervical spondylosis. Diagnosis of cervical spondylosis was based on clinical criteria and radiological findings. Result: A total of 50 patients (31 males and 19 females) were studied. Hypertension was ascertained in 29(58%).Common signs and symptoms of cervical spondylosis were evaluated including headache in 89.4%, vertigo in 83.7%, chest pain in 55%, shoulder pain in 61.9%, numbness in 65.1%,abnormal reflexes in 44.7%, Babiniski sign in 17% and Body Mass Index ≥30 in 60.4%). Logistic regression analysis indicated that vertigo is significant independent predictor of hypertension in cervical spondylosis patients. Conclusions: Vertigo was a predictor of hypertension in spondylotic patients.