[The effect of cardiovascular, endocrine and metabolic diseases on hearing]

T Brusis1

  • 1HNO-Klinik des Städtischen Krankenhauses Köln-Holweide.

Laryngo- Rhino- Otologie
|October 1, 1989
PubMed

Insights

Chronic hearing impairment is not strongly linked to internal diseases like coronary issues or hypertension. Studies show minimal hearing differences in these patients compared to healthy individuals, cautioning against unqualified assumptions.

Area of Science:

  • Otorhinolaryngology
  • Cardiology
  • Internal Medicine

Context:

  • Chronic hearing impairment is often speculatively linked to internal diseases.
  • Previous assumptions suggested a correlation between cardiovascular conditions and hearing loss.
  • This study investigates hearing faculty in patients with coronary artery disease and hypertension.

Purpose:

  • To investigate the relationship between coronary artery disease, hypertension, and hearing ability.
  • To compare the hearing faculty of patients with specific internal diseases against healthy age-matched controls.
  • To evaluate the validity of linking chronic hearing impairment to cardiovascular, metabolic, and hormonal conditions.

Summary:

  • Audiometric assessments were conducted on 111 patients with coronary artery disease (30-59 years) and 90 patients with hypertension (16-60 years).
  • Results indicated only minor differences in hearing faculty between the patient groups and healthy individuals.
  • The study found no significant evidence that coronary or hypertensive patients are harder of hearing than their healthy counterparts.

Impact:

  • Challenges the common belief that cardiovascular diseases directly cause significant chronic hearing impairment.
  • Highlights the importance of audiometric standards in interpreting hearing ability in medical risk groups.
  • Advises caution against unsubstantiated claims linking hearing loss to systemic diseases like cardiovascular, metabolic, or endocrine disorders.

Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However, frequent irregular...
Cardiovascular System Abnormal Findings II: Auscultation01:25

Cardiovascular System Abnormal Findings II: Auscultation

Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...