Atrial Fibrillation Is Not Associated With Sudden Sensorineural Hearing Loss

Trong-Zong Chen1,2, Bi-Hua Cheng3,4, Hsiao-Yun Hu5,6,7

  • 1Department of Gastroenterology and Hepatology, Taipei City Hospital, Taipei.

Insights

This study investigated the link between atrial fibrillation (AF) and sudden sensorineural hearing loss (SSNHL). Researchers found no significant association between AF and the risk of developing SSNHL.

Area of Science:

  • Cardiology
  • Otolaryngology
  • Epidemiology

Background:

  • Atrial fibrillation (AF) is a common cardiac arrhythmia.
  • Sudden sensorineural hearing loss (SSNHL) is an idiopathic condition requiring prompt diagnosis and treatment.
  • Understanding potential risk factors for SSNHL is crucial for early intervention.

Purpose of the Study:

  • To investigate the potential association between atrial fibrillation (AF) and the incidence of sudden sensorineural hearing loss (SSNHL).
  • To identify risk factors associated with SSNHL in a large cohort.
  • To evaluate the role of antiplatelet and anticoagulation medications in SSNHL.

Main Methods:

  • A population-based retrospective cohort study using Taiwan's National Health Insurance database (2000-2011).
  • 14,698 patients with AF were propensity score-matched 1:1 with non-AF controls.
  • Multiple logistic regression analyses were employed to assess the risk of SSNHL.

Main Results:

  • No statistically significant association was found between atrial fibrillation and the risk of sudden sensorineural hearing loss (OR: 0.89, 95% CI: 0.64-1.23, P = .467).
  • Male gender, age (45-74 years), hyperlipidemia, and hypertension were identified as risk factors for SSNHL.
  • Aspirin use was associated with a reduced rate of SSNHL (OR: 0.67, 95% CI: 0.49-0.94, P = .019).

Conclusions:

  • Atrial fibrillation is not a significant risk factor for sudden sensorineural hearing loss.
  • Male gender, older age, hyperlipidemia, and hypertension are associated with an increased risk of SSNHL.
  • Aspirin may have a protective effect against SSNHL.
Abstract

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