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Hipertensi merupakan masalah kesehatan yang penting dikarenakan prevalensinya tinggi dan dapat menyebabkan kerusakan organ. Salah satu organ sasaran hipetensi adalah sistem auditorik yang dapat menyebabkan gangguan pendengaran. Faktor risiko gangguan pendengaran seperti diabetes melitus, hipertensi, merokok, obesitas, dan hiperlipidemia diindikasikan berhubungan dengan gangguan pendengaran namun mekanismenya masih belum diketahui sepenuhnya. Penelitian ini bertujuan mengetahui hubungan hipertensi dengan gangguan pendengaran di Rumah Sakit TK II Bhayangkara Medan. Sebanyak 60 subjek terdiri dari 30 subjek kelompok hipertensi dan 30 subjek kelompok kontrol (kelompok normotensi), laki-laki dan perempuan, berusia 25-60 tahun dilakukan pengukuran tekanan darah dengan sphygmomanometer serta pemeriksaan pendengaran dengan garpu tala dan audiometri nada murni. Penelitian ini bersifat analitik dengan desain case control study. Analisis hasil penelitian ini menggunakan chi-square dan uji Fisher exact. Hasil Penelitian: Terdapat 18 penderita hipertensi yang mengalami gangguan pendengaran, 12 penderita hipertensi tidak mengalami gangguan pendengaran, 2 penderita normotensi gangguan pendengaran, dan 28 penderita normotensi tidak mengalami gangguan pendengaran. Jadi terdapat hubungan antara hipertensi dengan gangguan pendengaran.

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Abnormalities of lipid metabolism in hyperlipidemia are the cause of atherosclerotic plaque in the inner ear and cranial nerves VIII, which can cause sensorineural hearing loss. Based on previous research, this theory is still questionable. Objective: To determine the relationship of LDL levels with sensorineural hearing loss. Method: This study is an analytic study with a cross-sectional approach. The research sample was taken based on a categorical descriptive formula with a large sample of 38 people. The data obtained is the result of laboratory tests, physical examination of the ears, nose and throat and audiometry examination of pure tone. This research was conducted at Medan Haji General Hospital and Putri Hijau Hospital II Medan. The number of research subjects was determined using consecutive sampling techniques. Data were analyzed using chi square test statistics. Results: There was a significant correlation of LDL levels with sensorineural hearing loss with a value of p = 0.001. The highest age in this study was 50-60 years of age, the most sex was female, the highest degree of hearing loss was moderateConclusion: There is a significant relationship between LDL levels with sensorineural hearing loss.   Keywords: Audiometry, Hearing Loss, Sensorineural Hearing Loss, Low Density Lipoprotein, Lipid Profile