Disfuncion cócleo-vestibular en pacientes con diabetes mellitus, hipertensión arterial sistémica y dislipidemia

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

doi:10.1016/j.otorri.2011.09.001

Cited by 18 publications

(7 citation statements)

References 28 publications

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“…Results of our study are in agreement with other studies of hypertension in vestibular dysfunction [7, 33]. Chavez-Delgado et al report that hypertension, type 2 DM and dyslipidemia resulted in the highest percentage of cochlear and vestibular dysfunction, with hypertension present in 74% of their study population (n=385) [7]. Besides microvascular damage, macrovascular damage is seen in people with diabetes and hypertension.…”

Section: Discussionsupporting

confidence: 92%

“…The vascular effects of hypertension and diabetes may be possible mechanisms leading to tissue hypoxia and cochleovestibular degeneration [9, 22]. Results of our study are in agreement with other studies of hypertension in vestibular dysfunction [7, 33]. Chavez-Delgado et al report that hypertension, type 2 DM and dyslipidemia resulted in the highest percentage of cochlear and vestibular dysfunction, with hypertension present in 74% of their study population (n=385) [7].…”

Section: Discussionsupporting

confidence: 91%

“…Vasospasm of the labyrinthine arteries may cause detachment of otoconia from the macula, seen in conditions like migraine [32]. BPPV is associated with hypertension and hyperlipidemia, due to possible vascular damage to the inner ear, and is a known sequel of labyrinthine ischemia that precipitates detachment of the otoconia [7, 33]. The relationship between diabetes (DM) and BPPV is not well understood.…”

Section: Introductionmentioning

confidence: 99%

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Retrospective data suggests that the higher prevalence of benign paroxysmal positional vertigo in individuals with type 2 diabetes is mediated by hypertension

D’Silva

Staecker

Lin

et al. 2016

VES

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Objective Benign Paroxysmal Positional Vertigo (BPPV) has been linked to comorbidities like diabetes and hypertension. However, the relationship between type 2 diabetes (DM) and BPPV is unclear. The purpose of this retrospective study was to examine the relationship between DM and BPPV in the presence of known contributors like age, gender and hypertension. Methods A retrospective review of the records of 3933 individuals was categorized by the specific vestibular diagnosis and for the presence of type 2 DM and hypertension. As the prevalence of BPPV was higher in people with type 2 DM compared to those without DM, multivariable logistic regressions were used to identify variables predictive of BPPV. The relationship between type 2 DM, hypertension and BPPV was analyzed using mediation analysis. Results BPPV was seen in 46% of individuals with type 2 DM, compared to 37% of individuals without DM (p<0.001). Forty two percent of the association between type 2 DM and BPPV was mediated by hypertension, and supported hypertension as a complete mediator in the relationship between type 2 DM and BPPV. Conclusions Hypertension may provide the mediating pathway by which diabetes affects the vestibular system. Individuals with complaints of dizziness, with comorbidities including hypertension and diabetes, may benefit from a screening for BPPV.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective data suggests that the higher prevalence of benign paroxysmal positional vertigo in individuals with type 2 diabetes is mediated by hypertension

D’Silva

Staecker

Lin

et al. 2016

VES

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“…There are some studies about hypertension in patients with tinnitus; for example, Nowak et al's study [ 33 ] included 1200 patients getting treated in the Laryngological Rehabilitation Centre in Poznań due to tinnitus, in the examined group 34% suffered from systemic diseases, and among them the highest percentage (47%) suffered from hypertension; Sogebi's study [ 20 ] showed that, among 79 patients having complaints of tinnitus, 15.2% were suffering from hypertension. There are also some studies about tinnitus in patients with hypertension; for instance, Borghi et al's study [ 34 ] showed that 17.6% patients (aged 18 to 75 years, with uncontrolled hypertension) reported occasional or prolonged spontaneous tinnitus and suggested that systemic blood pressure might have played a prominent role in some tinnitus patients; Chávez-Delgado et al conducted a cross-sectional study of 385 patients with hypertension, type 2 diabetes mellitus, and dyslipidemia with symptoms of hearing loss, vertigo, and tinnitus; the prevalence of tinnitus was 32% in patients with hypertension [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis on the Association between Hypertension and Tinnitus

Pan

Zheng

et al. 2015

International Journal of Hypertension

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Hypertension has been suggested to be one possible risk factor of tinnitus, but the association between hypertension and tinnitus remains uncertain. The authors performed a meta-analysis of the existing studies on the association between hypertension and tinnitus. We performed literature search of studies using SinoMed, CNKI, WanFang, PubMed, Scopus, Web of Science, and Google Scholar. Studies reported the odds ratio and 95% confidence interval (CI) (or provided sufficient information for calculation) of the association between hypertension and tinnitus were included. A total of 19 eligible studies with 20 effect estimates were used in this study. They included 63,154 participants with age ranging from 14 to 92. The pooled OR, which was pooled using a random effects model, was 1.37 (95% CI: 1.16 to 1.62). There was no evidence of publication bias (p = 0.11 for Begg's test, p = 0.96 for Egger's test). By meta-regression, we found that study design may be one possible factor of heterogeneity. Sensitivity analysis found that the result was stable. This study suggests that hypertension might be one risk factor of tinnitus, and hypertension prevention and control might be helpful in preventing tinnitus.

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“…Regarding the DM+AH group, we observed significantly worse hearing thresholds for all of the assessed frequencies in comparison to the three other groups (CG, AH and DM). This fact suggests that the association between both pathologies may have a synergistic effect on the hearing of the elderly, that is, there is a cooperative action of the conditions on the body that makes their effect stronger than the sum of the effects of each condition alone (23) .…”

Section: Discussionmentioning

confidence: 99%

Interação entre diabetes mellitus e hipertensão arterial sobre a audição de idosos

Rolim

Rabelo

Lobo

et al. 2015

CoDAS

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Disfuncion cócleo-vestibular en pacientes con diabetes mellitus, hipertensión arterial sistémica y dislipidemia

Cited by 18 publications

References 28 publications

Retrospective data suggests that the higher prevalence of benign paroxysmal positional vertigo in individuals with type 2 diabetes is mediated by hypertension

Retrospective data suggests that the higher prevalence of benign paroxysmal positional vertigo in individuals with type 2 diabetes is mediated by hypertension

A Systematic Review and Meta-Analysis on the Association between Hypertension and Tinnitus

Interação entre diabetes mellitus e hipertensão arterial sobre a audição de idosos

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