“…Those factors affects the inner ear blood flow which directly caused impairment of oxygen and nutrient transport to the cochlear cells and indirectly on auditory nerve degeneration. 11,17 Some researches stated that hearing loss, tinnitus, and dizziness have been associated with smoking, hypertension, DM, aging, health history, and leisure activities. 8,18 Chronic hypertension causes nephrosclerosis and the longer the hypertension the more severe glomerular injury and tubular atrophy that eventually leads to renal failure.…”