Neurosensory deficits after myocardial infarction

Gábor Bencze1, Claus-Frenz Claussen, Lóránt Heid

  • 1Central Military Hospital, Semmelweis University, Budapest, Hungary. gbencze@hdsnet.hu

Insights

Cardiovascular diseases significantly impact the vestibular system. Recent myocardial infarction patients showed fewer vertigo symptoms but similar acoustic issues compared to those with older infarctions.

Area of Science:

  • Neuroscience
  • Otolaryngology
  • Cardiology

Background:

  • Cardiovascular diseases are prevalent and frequently linked to brain lesions affecting the vestibular system.
  • Vestibular system dysfunctions are a common complication of cardiovascular events.

Purpose of the Study:

  • To investigate neurootological functional changes in patients following myocardial infarction.
  • To compare vestibular and acoustic symptoms in patients with recent versus older myocardial infarctions.

Main Methods:

  • Two patient groups were compared: Group A (recent myocardial infarction, within 1 year) and Group B (older myocardial infarction, >1 year).
  • Neurootometric assessments included vertigo symptom evaluation, acoustic symptom reporting (tinnitus, hearing loss), butterfly calorigrams, stepping-test craniocorpography (CCG), and bone conduction audiometry.

Main Results:

  • Group A reported an average of 1.48 vertigo symptoms per patient, while Group B reported 2.02.
  • Tinnitus and hearing loss prevalence was similar between groups (around 45-58%).
  • Abnormal neurootometric findings were frequent in both groups, with higher rates of abnormal bone conduction audiometry in Group A.

Conclusions:

  • Myocardial infarction impacts neurootological function, with varying symptom and audiological profiles based on time since infarction.
  • Further research is needed to understand the mechanisms linking cardiovascular events to vestibular dysfunction.

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