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Use of beta blockers is associated with hearing loss
Bandar Saeed Al-Ghamdi1,2, Dileep Kumar Rohra3, Gheid Ali Ibrahim Abuharb4
1a Department of Cardiology, Heart Centre , King Faisal Specialist Hospital & Research Centre , Riyadh , Saudi Arabia.
Insights
Chronic use of carvedilol, a beta-blocker, is linked to significant hearing loss. Other beta-blockers did not show this association, suggesting carvedilol may require careful consideration in clinical practice.
Area of Science:
- Cardiology
- Otolaryngology
- Pharmacology
Background:
- Beta-blockers are commonly prescribed for cardiovascular conditions.
- Potential side effects of medications require thorough investigation.
Purpose of the Study:
- To investigate the association between beta-blocker use and hearing loss.
- To identify specific beta-blockers, if any, linked to hearing impairment.
Main Methods:
- A cross-sectional study design was employed.
- 125 patients were analyzed, divided into beta-blocker users (n=63) and non-users (n=62).
- Linear multiple regression analysis identified predictors of hearing loss severity.
Main Results:
- Carvedilol use was significantly associated with hearing loss.
- Metoprolol and atenolol showed no significant association with hearing loss.
- Age, gender, and carvedilol use were significant predictors of hearing loss severity.
Conclusions:
- Chronic carvedilol use is associated with significant hearing loss.
- This association warrants consideration during carvedilol prescription.
- Further randomized controlled trials with audiometric testing are recommended to confirm the findings.
Objective:
This study was conducted to investigate the hypothesis that patients using β-blockers will develop hearing loss.
Design:
A cross-sectional study.
Study Sample:
A total of 125 patients completed the study. A total of 63 patients were on β-blockers and 62 were not on β-blockers.
Results:
Carvedilol was significantly associated with hearing loss. Other beta-blockers including metoprolol and atenolol showed no association with hearing loss. Linear multiple regression analysis was run including variables of gender, age, ischaemic heart disease, cardiac failure/dilated cardiomyopathy, frusemide and carvedilol use as predictors for total hearing loss severity at all frequencies. Age and gender, as well as carvedilol, were found to be the only statistically significant predictors for hearing loss severity.
Conclusion:
Chronic use of carvedilol was associated with significant hearing loss. This may need to be taken into account when prescribing the drug. Further randomised controlled studies with baseline audiometric hearing tests before starting treatment, and periodic follow-up tests, would provide a better assessment of the effect of carvedilol on hearing.
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