Association between mitral valve prolapse and sudden sensorineural hearing loss: A case-control population-based study

Abstract

This study aimed to evaluate the relationship between sudden sensorineural hearing loss (SSNHL) and MVP using a population-based dataset. Data for this case-control study were retrieved from the Taiwan Longitudinal Health Insurance Database. In total, 3399 cases of newly diagnosed SSNHL were identified. We used propensity score matching to select 3399 comparison patients (one for every case) from the same dataset. The selected matching variables included age, sex, monthly income, geographical location, urbanization level of the patient’s residence, hypertension, diabetes, and hyperlipidemia. Chi-squared tests were used to compare differences in sociodemographic characteristics, while conditional logistic regression analyses were used to examine the association of SSNHL with previously diagnosed MVP. Of the 6798 sampled subjects, 131 (1.93%) patients had received a diagnosis of MVP prior to the index date. A significant difference in the prevalence of prior MVP between cases and controls (2.41% vs. 1.44%, p = 0.004) was observed. The conditional logistic regression analysis conditioned on gender, age, monthly income, urbanization level, geographic region, hyperlipidemia, diabetes, and hypertension suggested that the odds ratio of prior MVP for cases was 1.69 (95% confidence interval (CI): 1.18~2.42) compared to controls. Our study found that patients with MVP had a 1.69-fold higher risk of getting SSNHL compared to patients without MVP.

Focus on the effect of nursing care combined with cognitive intervention and functional training on negative emotion, compliance and quality of life in elderly patients with sudden deafness: A retrospective study

“…Applying functional training to the treatment of patients with sudden deafness can relax the patient’s body while reducing its sympathetic nerve excitability and negative psychological stress, thereby reducing the patient’s anxiety and depression, thereby improving the patient’s treatment effect. [ 20 ] Cognitive theory believes that people’s ability to respond to stimuli is related to their misconceptions about self-evaluation of cognitive biases in the external environment. [ 21 ] The focused solution model care enables patients to actively face the condition, which is more conducive to the recovery of patients’ psychological defense mechanism, thereby reducing the patients’ unhealthy psychology, and changing the patient’s behavior, thereby improving the patient’s treatment cooperation, so it is more conducive to the patient’s hearing recovery.…”

Prevalence and characteristics of mitral valve prolapse in military young adults in Taiwan of the CHIEF Heart Study

“…The prevalence of MVP reported in a previous case–control study in Taiwan was estimated to be 1.92% in a population of ethnic Taiwanese individuals with a mean age of 49.2 years 36 . However, their study subjects were retrieved from the Nationwide Health Insurance Database in Taiwan, and the cases were selected merely on the basis of the International Classification of Diseases, 9th Revision, Clinical Modification code for MVP 38 , which might underestimate the prevalence of MVP. In the present study, 3.3% of young adults had MVP, falling toward the higher end of the range among previous population-based studies 1 , 2 , 5 , 6 , 21 .…”

Hipoacusia neurosensorial súbita, el gran dilema de la otorrinolaringología. Una revisión de la literatura

“…73 Dentro de los estados de hipercoagulabilidad se encontró reportes de la asociación de prolapso de válvula mitral con el aparecimiento de HNSS encontrando como factor causal el estado de hiperactivi-dad plaquetaria secundaria a la lesión valvular. 19 Se debe mencionar además al síndrome metabólico, diabetes mellitus, y edad avanzada siendo estados de riesgo para insuficiencia vascular, relacionándose con cuadros más graves y con peor pronóstico de HNSS, posiblemente secundario a la patología microvascular preexistente en estas patologías. 106 Con tasas de hasta 3.54 veces más alta que la población sana en casos de enfermedad metabólica.…”