Hostname: page-component-77c89778f8-vsgnj Total loading time: 0 Render date: 2024-07-23T01:20:20.089Z Has data issue: false hasContentIssue false

Evaluation of cardiovascular risks and recovery of idiopathic sudden sensorineural hearing loss in hospitalised patients: comparison between complete and partial sudden sensorineural hearing loss

Published online by Cambridge University Press:  15 August 2017

C Haremza
Affiliation:
ENT and Head and Neck Surgery Department, Amiens University Hospital, France
N Klopp-Dutote
Affiliation:
ENT and Head and Neck Surgery Department, Amiens University Hospital, France
V Strunski
Affiliation:
ENT and Head and Neck Surgery Department, Amiens University Hospital, France
C Page*
Affiliation:
ENT and Head and Neck Surgery Department, Amiens University Hospital, France
*
Address for correspondence: Dr Cyril Page, Service d'ORL et de chirurgie de la face et du cou, CHU Amiens, Hôpital Sud, 80054 Amiens cedex, France E-mail: cyril_page@yahoo.fr

Abstract

Objective:

To evaluate the presence of cardiovascular risk factors and recovery of idiopathic sudden sensorineural hearing loss in hospitalised patients.

Methods:

A single-centre retrospective study of 80 patients hospitalised for idiopathic sudden sensorineural hearing loss was conducted over a 6-year period. Mean pure tone hearing thresholds were assessed by pure tone audiometry.

Results:

Twenty-three of 80 patients (28.75 per cent) initially had no cardiovascular risk factors. Forty-five patients had hyperlipidaemia, 22 patients had hypertension, 7 patients had diabetes mellitus and 7 patients were obese. No statistically significant difference was observed between patients with complete versus partial sudden sensorineural hearing loss (p = 0.0708) concerning the cardiovascular risk factors. At long-term follow up, the hearing recovery rate was not significantly different between the two groups of patients (p = 0.7541).

Conclusion:

The lack of a clear relationship between idiopathic sudden sensorineural hearing loss and cardiovascular risk factors suggests that sudden sensorineural hearing loss has a predominantly multifactorial disease profile regardless of hearing impairment severity.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Stachler, RJ, Chandrasekhar, SS, Archer, SM, Rosenfeld, RM, Schwartz, SR, Barrs, DM et al. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146:S135 CrossRefGoogle ScholarPubMed
2 Lionello, M, Staffieri, C, Breda, S, Turato, C, Giacomelli, L, Magnavita, P et al. Uni- and multivariate models for investigating potential prognostic factors in idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol 2015;272:1899–906CrossRefGoogle ScholarPubMed
3 Schreiber, BE, Agrup, C, Haskard, DO, Luxon, LM. Sudden sensorineural hearing loss. Lancet 2010;375:1203–11CrossRefGoogle ScholarPubMed
4 Charrier, JB, Tran Ba Huy, P. Idiopathic sudden sensorineural hearing loss: a review [in French]. Ann Otolaryngol Chir Cervicofac 2005;122:317 CrossRefGoogle ScholarPubMed
5 Mom, T, Avan, P, Gilain, L. Idiopathic sudden deafness [in French]. Rev Med Interne 2002;23:292307 CrossRefGoogle ScholarPubMed
6 Huy, PT, Sauvaget, E. Idiopathic sudden sensorineural hearing loss is not an otologic emergency. Otol Neurotol 2005;26:896902 CrossRefGoogle Scholar
7 Ullrich, D, Aurbach, G, Drobik, C. A prospective study of hyperlipidemia as a pathogenic factor in sudden hearing loss. Eur Arch Otorhinolaryngol 1992;249:273–6CrossRefGoogle ScholarPubMed
8 Ballesteros, F, Alobid, I, Tassies, D, Reverter, JC, Scharf, RE, Guilemany, JM et al. Is there an overlap between sudden neurosensorial hearing loss and cardiovascular risk factors? Audiol Neurotol 2009;14:139–45CrossRefGoogle ScholarPubMed
9 Rudack, C, Langer, C, Stoll, W, Rust, S, Walter, M. Vascular risk factors in sudden hearing loss. Thromb Haemost 2006;95:454–61CrossRefGoogle ScholarPubMed
10 Aimoni, C, Bianchini, C, Borin, M, Ciorba, A, Fellin, R, Martini, A et al. Diabetes, cardiovascular risk factors and idiopathic sudden sensorineural hearing loss: a case-control study. Audiol Neurotol 2010;15:111–15CrossRefGoogle ScholarPubMed
11 Ciccone, MM, Cortese, F, Pinto, M, Di Teo, C, Fornarelli, F, Gesualdo, M et al. Endothelial function and cardiovascular risk in patients with idiopathic sudden sensorineural hearing loss. Atherosclerosis 2012;225:511–16CrossRefGoogle ScholarPubMed
12 Teranishi, M, Katayama, N, Uchida, Y, Tominaga, M, Nakashima, T. Thirty-year trends in sudden deafness from four nationwide epidemiological surveys in Japan. Acta Otolaryngol 2007;127:1259–65CrossRefGoogle ScholarPubMed
13 Lin, H-C, Chao, P-Z, Lee, H-C. Sudden sensorineural hearing loss increases the risk of stroke: a 5-year follow-up study. Stroke 2008;39:2744–8CrossRefGoogle ScholarPubMed
14 Nishio, N, Teranishi, M, Uchida, Y, Sugiura, S, Ando, F, Shimokata, H et al. Contribution of complement factor H Y402H polymorphism to sudden sensorineural hearing loss risk and possible interaction with diabetes. Gene 2012;499:226–30CrossRefGoogle ScholarPubMed
15 Rust, KR, Prazma, J, Triana, RJ, Michaelis, OE 4th, Pillsbury, HC. Inner ear damage secondary to diabetes mellitus: II. Changes in aging SHR/N-cp rats. Arch Otolaryngol Neck Surg 1992;118:397400 Google ScholarPubMed
16 Weng, SF, Chen, Y-S, Hsu, CJ, Tseng, FY. Clinical features of sudden sensorineural hearing loss in diabetic patients. Laryngoscope 2005;115:1676–80CrossRefGoogle ScholarPubMed
17 Fukui, M, Kitagawa, Y, Nakamura, N, Kadono, M, Mogami, S, Ohnishi, M et al. Idiopathic sudden hearing loss in patients with type 2 diabetes. Diabetes Res Clin Pract 2004;63:205–11CrossRefGoogle ScholarPubMed
18 Perk, J, De Backer, G, Gohlke, H, Graham, I, Reiner, Z, Verschuren, WM et al. European Guidelines on Cardiovascular Disease Prevention in Clinical Practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Atherosclerosis 2012;223:168 CrossRefGoogle Scholar