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

Przewoźny, Tomasz; Gójska-Grymajło, Anna; Kwarciany, Mariusz; Graff, Beata; Szmuda, Tomasz; Gąsecki, Dariusz

doi:10.1097/hjh.0000000000000803

Cited by 23 publications

(21 citation statements)

References 42 publications

(52 reference statements)

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“…34 Hypertension is a well-documented cause of cochlear damage and peripheral hearing loss in both rats and humans. [35][36][37][38] Hypertension causes many changes in the circulatory system that effect hearing. Increased blood viscosity reduces capillary blood flow, which reduces oxygen transport and causes tissue hypoxia.…”

Section: Discussionmentioning

confidence: 99%

“…There is contradictory evidence to the relationship between hypercholesterolemia and hearing status, 32–33 but hypercholesterolemia has been strongly associated with worse cardiovascular health 34 . Hypertension is a well‐documented cause of cochlear damage and peripheral hearing loss in both rats and humans 35–38 . Hypertension causes many changes in the circulatory system that effect hearing.…”

Section: Discussionmentioning

confidence: 99%

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Relationship of Overall Cardiovascular Health and Hearing Loss in The Jackson Heart Study Population

et al. 2019

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Objectives: To evaluate the relationships among the overall cardiovascular health scoring tool, Life's Simple 7 (LS7), and hearing in an African-American cardiovascular study cohort. Methods: Using the Jackson Heart Study's cohort of African Americans, the relationships between the LS7 scoring metric and hearing of 1314 individuals were assessed. Standard audiometric data was collected and hearing loss was defined as a four-frequency average of 500, 1000, 2000, and 4000 Hz greater than 25 dBHL (PTA4). Measures of reported tinnitus and dizziness were also collected. The LS7 scoring tool, which consists of seven individual categories (abstinence from smoking, body mass index, physical activity, healthy diet, total cholesterol <200 mg/dL, normotension, and absence of diabetes mellitus), was used as measure of overall cardiovascular health. Each category of the LS7 was broken down into poor, intermediate, and ideal subgroups as in accordance with the American Heart Association Strategic Planning Task Force and Statistics Committee. Unadjusted and adjusted gamma regression and logistic regression models were constructed for determining relationships between LS7 and hearing loss. Results: Higher total LS7 scores (per 1-unit increase) were associated with lower PTA4 in gamma regression analyses (RR = 0.942, 95% CI, 0.926-0.958, P < .001). This held true even after adjustments for age, sex, education, and history of noise exposure. Using logistic regression analyses to compare LS7 scores to presence of hearing loss, tinnitus, and vertigo; only hearing loss showed a statically significant relationship after adjustments for age, sex, education, and history of noise exposure. Conclusions: This study shows a significant, graded association between higher life's simple seven scores and lower incidence of hearing loss.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Relationship of Overall Cardiovascular Health and Hearing Loss in The Jackson Heart Study Population

et al. 2019

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“…19 Similarly, a prospective cohort study comparing 32 hypertensive patients with ageand sex-matched controls demonstrated impaired hearing in hypertensive patients at all frequencies (0.125-12.5 kHz). 20 Further investigations into hypertension's effect on hearing are warranted given the extensive prevalence of hypertension and presence of effective treatment.…”

Section: Strength Of Association Of Each Comorbiditymentioning

confidence: 99%

Association of Cardiovascular Comorbidities With Hearing Loss in the Older Old

Wattamwar

Qian

Otter

et al. 2018

JAMA Otolaryngol Head Neck Surg

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“…Этим обусловлены трудности последующей коррекции слуховых расстройств, несмотря на внедрение в практику современных электроакустических и лучевых методик, совершенствование психоакустических (субъективных) методов исследования. Это связано также с тем, что нарушения слуха центрального и периферического происхождения гетерогенны как в отношении функциональных дефектов, зависящих в свою очередь от топики поражения, так и клинических проявлений, которые в ряде случаев трудно дифференцировать с нарушениями иного происхождения [10]. Одна из основных проблем пациентов, которая связана со снижением слуха и существенно ухудшает их качество жизни, -это нарушение разборчивости речи, ведущее к социальной изоляции больных.…”

Section: Introductionunclassified

Diagnostic significance of subjective techniques for the study of the acoustic organ in patients with primary arterial hypertension

Lisotskaya¹,

В²,

Меркулова³

et al. 2020

Science and Innovations in Medicine

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Objectives - to evaluate the diagnostic significance of subjective techniques for the study of the acoustic organ in patients with primary arterial hypertension (HT) Material and methods. 40 patients (n = 40) were divided into 2 groups: Group 1 included patients with HT, group 2 - conditionally healthy patients, examined at the Republican Center for Research and Practice in Otorhinolaryngology, in 2018-2019. The mathematical statistics, Student t-test were used. Results. The patients in the group 1 presented the following complaints: the decrease in speech intelligibility 80% (n=16), difficulty in recognizing the speech in polyphony 70% (n=14), tinnitus 60% (n=12), hearing loss 15% (n=3). Otoscopy in both groups was within normal. Whisper test result was 6 m in the conditionally healthy patients. In patients with HT, the whisper test with familiar multi-syllable words resulted as 6±0.5 m. However, the mono-syllable word hearing in all patients was reduced to 4±0.5 m. Type A tympanogram was registered in patients of both groups (n=40) with bilateral acoustic reflex. High-frequency audiometry showed changes in 1/3 of the patients in HT group (n=6). Monoaural speech intelligibility (multi-syllable words) at the comfortable hearing threshold was not significantly different in both study groups. The binaural speech intelligibility tested by alternating binaural speech at the comfortable auditory threshold reached 80±5% (t>0,95), along with extremely low pass percentage (35%) in digital dichotic tests in patients with HT, that can suggest the feasible central mechanism of the auditory analyzer lesion. Conclusion. HT is a systemic disease that causes an impairment of the acoustic organ at the central and peripheral levels. In addition to the standard batch of hearing tests, it is recommended to use the superthreshold speech intelligibility tests in patients with arterial hypertension.

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

Abstract: Arterial hypertension is independently related to the damage of the peripheral part of the auditory system resulting in high-frequency hearing loss. Hypertensive disturbances of central auditory processing are more discrete and concern the spatial hearing resolution.

Cited by 23 publications

References 42 publications

Relationship of Overall Cardiovascular Health and Hearing Loss in The Jackson Heart Study Population

Relationship of Overall Cardiovascular Health and Hearing Loss in The Jackson Heart Study Population

Association of Cardiovascular Comorbidities With Hearing Loss in the Older Old

Diagnostic significance of subjective techniques for the study of the acoustic organ in patients with primary arterial hypertension

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