Hearing loss among hypertensive patients

Yikawe, Stephen Semen; Uguru, Samuel; Solomon, Joseph Hassan; Adamu, A. M.; Damtong, Frederick; Kingsley, Osisi; Adeyeye, Foluso M.

doi:10.4103/ejo.ejo_16_19

Cited by 5 publications

(16 citation statements)

References 24 publications

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“…In this study, the most common degree of hearing loss was mild hearing loss. This is in agreement with previous findings from other studies which reported mild hearing loss as the most common hearing loss degree (13,16) 3 in Agarwal et al, respectively) still indicates a mild degree of hearing loss when the revised WHO classification of hearing loss is applied (27). Thus, it can be argued that mild hearing loss is the most common degree of hearing loss among hypertensives.…”

Section: Discussionsupporting

confidence: 93%

“…Factors associated with hearing loss in this group included being between 50 and 55 years of age, having grade 2 hypertension, and being on antihypertensive medication. This study's prevalence of hearing loss among the hypertensive group was in line with previously reported prevalence of 46.8% (35), 36.7% (13), 38.5% (16), and 12.83% (19). The current study defined hearing loss as per the recently revised WHO hearing loss classification system (27).…”

Section: Discussionsupporting

confidence: 92%

“…Thus, it can be argued that mild hearing loss is the most common degree of hearing loss among hypertensives. In accordance to previous studies, the current study excluded participants with an air-bone gap of ≥10 dB HL (13,16,19). As a result, all participants who presented with hearing loss in this study had sensorineural hearing loss.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, routine assessments of signs of hypertensive TOD have been recommended by the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines (ACCF/AHA) (12). The auditory system is not part of the hypertension TOD list to be routinely assessed as outlined by the ACCF/AHA, despite increasing evidence demonstrating an association between hypertension and auditory deficits (13)(14)(15)(16). In this paper, auditory deficits are defined as having hearing loss and or tinnitus.…”

Section: Introductionmentioning

confidence: 99%

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Hypertension Associated With Hearing Loss and Tinnitus Among Hypertensive Adults at a Tertiary Hospital in South Africa

Ramatsoma

Patrick

2022

Front. Neurol.

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IntroductionHypertension is one of the leading causes of morbidity and mortality worldwide, and has been associated with target organ damage. Effects of hypertension on the auditory system are varied and requires further investigation. This study aimed to investigate the association between hypertension and auditory deficits (hearing loss and tinnitus).MethodsThis study employed a cross-sectional study including 106 (54.7% female) hypertensive adults aged 18–55 years, and 92 (52.2% female) non-hypertensive sex- and age-matched adults residing in South Africa. A data extraction sheet was used to obtain hypertension information from participants' medical files, and to subjectively obtain tinnitus status and characteristics among participants. Participants' hearing sensitivity—including extended high frequencies (EHF)—were measured using a diagnostic audiometer. The χ2 test determined the difference in auditory deficit prevalence between the study groups. Logistic regression was used to identify predictor variables associated with auditory deficits in the hypertensive group.ResultsA hearing loss prevalence of 37.4% among hypertensive adults compared to 14.1% among the non-hypertensive group (P = 0.000, χ2 = 14.00) was found. The EHF pure-tone average among the hypertensive group was 44.1 ± 19.2 dB HL, and 20.0 ± 18.3 dB HL among the control group. Bilateral mild sensorineural hearing loss was the most common type of hearing loss among hypertensive adults. A higher prevalence of tinnitus (41.5%) was found in the hypertensive group compared to the control group (22.8%) (P = 0.008, χ2 = 7.09). In this study, 30.3% of hypertensive adults had tinnitus without hearing loss compared to 17.7% non-hypertensive adults. Factors associated with hearing loss included being between 50 and 55 years [adjusted Odds Ratio (AOR) = 3.35; 95% Confidence Interval (CI): 1.32–8.50; P = 0.011], having grade 2 hypertension (AOR = 4.18; 95% CI: 1.02–17.10; P = 0.048), and being on antihypertensive medication (AOR = 3.18; 95% CI: 1.02–9.87; P = 0.045). Tinnitus was associated with grade 3 hypertension (AOR = 3.90; 95% CI: 1.12–12.64; P = 0.033).ConclusionsOur study showed that hypertensive adults had a higher proportion of hearing loss and tinnitus compared to non-hypertensive adults. Findings suggest an association between hypertension and auditory deficits, demonstrating a need for integration of hearing healthcare services for hypertension management.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hypertension Associated With Hearing Loss and Tinnitus Among Hypertensive Adults at a Tertiary Hospital in South Africa

Ramatsoma

Patrick

2022

Front. Neurol.

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“…Hlayisi et al [25] reported a prevalence of hearing loss of 55% in adults with diabetes compared to 20% in the control group, while Khoza-Shangase et al [23] found elevated hearing thresholds of 6000 Hz, with elevated speech audiometry findings and reduced DPOAE amplitudes in the high frequencies in this population with diabetes. Yikawe et al [26] found participants with hypertension to present with a higher prevalence of hearing loss (38.5%) when compared to those without hypertension (13.5%). In a study conducted in South Africa on gold miners exposed to excessive noise, Khoza-Shangase [8] found that participants with a history of tuberculosis (TB) treatment presented with worse hearing thresholds in the high frequencies when compared to those without this history, with clear evidence of a noise-induced hearing loss notch at 6000 Hz in both groups.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the Interaction between Hearing Function and Comorbidities in Adults Living with Human Immunodeficiency Virus

Sebothoma

Khoza-Shangase

2021

IJERPH

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Adults living with the human immunodeficiency virus (HIV) have a high prevalence of co-existing comorbidities. While research indicates that adults living with HIV are at risk of developing hearing impairment, limited research exists on the interaction between hearing function and comorbidities in this population. The objective of this study was to determine and compare the hearing function of a group of adults living with HIV and comorbidities and those without comorbidities. A sample of 132 adults living with HIV underwent a basic audiological test battery to assess their hearing function. Participants with comorbidities were 1.23 times more likely to develop hearing loss, with crude odds of 1.236 (95%CI 0.5467 to 2.795), while those with three comorbidities were 2.52 times more likely to develop hearing loss. Participants with hypertension were 93% more likely to develop hearing loss when compared to nonhypertensive participants (OR = 1.928; 95%CI: 0.7856 to 4.7345). There was only a marginal association between hypercholesterolemia and sensorineural hearing loss (SNHL), with no association between other comorbidities and the type of hearing loss. The current findings raise a need for prioritizing patients with comorbidities in audiological assessment and monitoring in resource-constrained contexts, where capacity versus demand challenges might prevent the provision of audiological services to all adults living with HIV. These findings also highlight the importance of preventive care in this population with regard to the burden of the disease, as it may lead to worse ear and hearing outcomes for affected individuals.

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Hearing loss and hypertension: exploring the linkage

Babarinde

Adeyemo

Adeoye

2021

Egypt J Otolaryngol

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Background The inner ear vascular system may be disrupted by systemic hypertension causing inner ear hemorrhage and resulting in progressive or sudden hearing loss. Constriction of the labyrinthine artery secondary to atherosclerosis seen in high BMI and waist/hip circumference—risk factors of hypertension—could also occur with resultant hearing loss. Thus, hypertension could predispose to increased risk of hearing loss. This cross-sectional study assessed the hearing thresholds of hypertensive patients and sought to determine the association between hypertension and hearing loss among patients attending cardiology clinic in tertiary hospital in Nigeria. Results The study population was 500 individuals equally divided into subject and control arms. The mean age of the subjects and controls was 47.2 ± 7.4 years and 46.9 ± 7.5 years respectively. Hearing loss—mainly mild sensorineural hearing loss—was seen in 30% of the subjects and 0.4% of the controls. The hearing loss was bilateral in all subjects and slightly worse in the right ears. The hearing loss worsened with increased age, severity, and duration of hypertension; however, there was no association between the hearing loss and body mass index. Conclusion There is an association between hypertension and hearing loss, though most of the hypertensive subjects had mild sensorineural hearing loss. The prevalence and severity of the hearing loss worsens with the degree of hypertension. Incorporating regular audiological assessment for hypertensive patients could improve the quality of care for hypertension and quality of life for hypertensive patients.

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Hearing loss among hypertensive patients

Cited by 5 publications

References 24 publications

Hypertension Associated With Hearing Loss and Tinnitus Among Hypertensive Adults at a Tertiary Hospital in South Africa

Hypertension Associated With Hearing Loss and Tinnitus Among Hypertensive Adults at a Tertiary Hospital in South Africa

Investigation of the Interaction between Hearing Function and Comorbidities in Adults Living with Human Immunodeficiency Virus

Hearing loss and hypertension: exploring the linkage

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