Cochleovestibular Dysfunction in Patients With Diabetes Mellitus, Hypertension, and Dyslipidemia

Chávez-Delgado, María Estela; Vázquez-Granados, Irma; Rosales-Cortés, Manuel; Velasco-Rodríguez, Víctor Manuel

doi:10.1016/j.otoeng.2012.03.012

Cited by 20 publications

(20 citation statements)

References 28 publications

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“…The semicircular canal function, as well as the otolith one, declines with age (28). Cardio-cerebrovascular risk factors, including hypertension, hyperlipidemia, diabetes, coronary artery disease, migraine, are considered as independent risk factors for the occurrence and recurrence of BPPV (9,11,29). The older patients have more cardio-cerebrovascular risk factors in our study.…”

Section: Discussionmentioning

confidence: 56%

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Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Cao

Wang

et al. 2020

Front. Neurol.

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Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo, especially in the elderly. Several studies have revealed a possible seasonality to BPPV. However, whether the seasonality of BPPV also exists in China is unclear. The characteristics of cardio-cerebrovascular risk factors for BPPV in the cold season have not yet been investigated. Objectives: (1) To investigate the seasonality of BPPV; (2) To explore the relationship between cardio-cerebrovascular risk factors and seasonality of BPPV. Methods: A retrospective observational study was performed in Beijing Tiantan Hospital from Jan 2016 to Dec 2018. The study included 1,409 new-onset BPPV patients aged 18-88 years. The demographic data, onset time, and medical history of BPPV were collected. The meteorological data, including temperature, atmospheric pressure, rainfall, and insolation, was obtained from Beijing Meteorological service. The x 2 goodness of fit test was used to evaluate whether BPPV patients' numbers were significantly different among different months of the year. The Spearman correlation was used to detect the correlation between numbers of BPPV patients diagnosed monthly with each climatic parameter. The chi-square test for linear-by-linear association were used to investigate the relationship between cardio-cerebrovascular risk factor and seasonality of BPPV. Results: November to next March is the top 5 months with higher BPPV patient numbers (P < 0.001). The numbers of BPPV diagnosed monthly were conversely correlated with temperature and rainfall (r = −0.736, P = 0.010; r = −0.650, P = 0.022, respectively), positively correlated with atmospheric pressure (r = 0.708, P = 0.010), but no significant correlated with insolation. BPPV in the cold season (including January, February, March, November, and December) had a higher proportion, accounting for 54.2% of all BPPV patients. Among BPPV patients with ≥2, 1, and none cardio-cerebrovascular risk factors, the cold season accounted for 57.0, 56.0, 49.8%, respectively. As the number of cardio-cerebrovascular risk factors increased, the proportion of patients in the cold season of BPPV increased (P = 0.025). Cao et al. Seasonality, Cardio-Cerebrovascular Factors for BPPV Conclusions: BPPV patients are seen more in the months with low temperature, low rainfall, and high atmospheric pressure. Compared with the non-cold season, BPPV patients have more risk factors for cardio-cerebrovascular diseases in the cold season.

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Section: Discussionmentioning

confidence: 56%

“…In addition to seasonality, the cardio-cerebrovascular risk factors (hypertension, diabetes, and hyperlipidemia) were associated with BPPV because of possible vascular damage to the inner ear (9). BPPV patients with hypertension and hyperlipidemia were at a higher risk of symptom recurrence (4).…”

Section: Introductionmentioning

confidence: 99%

Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Cao

Wang

et al. 2020

Front. Neurol.

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“…Discrepancies in the results of earlier studies might be explained by a number of factors. Firstly, some of the studies included patients with comorbidities including diabetes, cardiovascular disease, or cognitive impairment [22,23]. Secondly, auditory function is significantly influenced by age and sex [5,22].…”

Section: Discussionmentioning

confidence: 99%

“…Firstly, some of the studies included patients with comorbidities including diabetes, cardiovascular disease, or cognitive impairment [22,23]. Secondly, auditory function is significantly influenced by age and sex [5,22]. Hence, the absence of control for these variables may be implicated in the lack of consistency in earlier studies.…”

Section: Discussionmentioning

confidence: 99%

Hypertension is associated with dysfunction of both peripheral and central auditory system

Przewoźny

Gójska-Grymajło

Kwarciany

et al. 2016

Journal of Hypertension

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“…En la literatura internacional se han hecho asociaciones entre vértigo y distintas patologías, resaltando su asociación con enfermedades metabólicas, entendidas como éstas la resistencia a la insulina (RI), diabetes mellitus 1 y 2 (DM), hipertensión arterial (HTA), dislipidemia y sobrepeso 24 . Ya en 1976 Thibert, en una serie de 30 pacientes con vértigo, se concluyó que DM y dislipidemia dañan el oído interno 6 .…”

Section: Introductionunclassified

Patología vestibular y su asociación con enfermedades metabólicas

et al. 2015

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Cochleovestibular Dysfunction in Patients With Diabetes Mellitus, Hypertension, and Dyslipidemia

Cited by 20 publications

References 28 publications

Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Seasonality and Cardio-Cerebrovascular Risk Factors for Benign Paroxysmal Positional Vertigo

Hypertension is associated with dysfunction of both peripheral and central auditory system

Patología vestibular y su asociación con enfermedades metabólicas

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