Association between hearing loss and hypertension in non ear infection patients in Universitas Gadjah Mada Academic Hospital

Anton Sony Wibowo(1*), Herfis Avidati(2), Sulis Ernawati(3)

(1) Department of Otorhinolaryngology – Head and Neck Surgery, Universitas Gadjah Mada Academic Hospital, Sleman, Yogyakarta Indonesia
(2) Department of Nursing, Universitas Gadjah Mada Academic Hospital, Sleman, Yogyakarta Indonesia
(3) Department of Nursing, Universitas Gadjah Mada Academic Hospital, Sleman, Yogyakarta Indonesia
(*) Corresponding Author


Hearing loss is a common occurrence that can decrease productivity and quality of life. The incidence of hearing loss is often experienced by adults due to several factors, and one influencing factor is cardiovascular disease. Hypertension is known to have an effect on decreasing inner ear vascularization that will result in hearing loss. The objective of this study was to evaluate the association of hearing loss and hypertension in non-ear infection patients. This case-control study recruited subjects who underwent audiometric examination at the Universitas Gadjah Mada Academic Hospital, Yogyakarta, from June 2018 - July 2019. Hypertension was determined based on the results of blood pressure examination based on JNC 8 criteria. Hearing threshold value was taken from pure tone audiometry. The association of hypertension with hearing loss was analysed in each group and between study groups. Sixty patients who underwent audiometric examination divided into two groups with 30 patients in each group were involved in this study. There was a significant relationship between hypertension and hearing loss (OR=13.1; 95%CI: 3.8-45.0; p= 0.001). Hypertension acts as a variable that significantly affects the incidence of hearing loss. Patients with hypertension have a greater risk of hearing loss compared to patients without hypertension.


hypertension; hearing loss; hearing threshold value; audiometry; risk factor;

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  1. World Health Organization. Estimates 2012. World Health Organization. [cited March 10th 2020] Available from:
  2. World Health Organization. Hear the future 2018. World Health Organization. [cited March 10th 2020]. Available from:
  3. Lin FR, Goman AM. Prevalence of hearing loss by severity in the united state. Am J Public Health 2016; 106 (10):1820-2.
  4. Kemenkes. Riset kesehatan dasar 2013. Kementrian Kesehatan RI 2013; 1:1–300.
  5. Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control a systematic analysis of population-based studies from 90 countries. Circulation 2016; 134:441–50.
  6. Yusuf A, Fathurrahman F, Magdalena M. Hubungan gaya hidup dengan hipertensi pada pengunjung Puskesmas Teluk Dalam Banjarmasin. Jurnal Skala Kesehatan 2015; 6(1).
  7. Lin FR, Metter EJ, O’Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol 2011; 68:214–20.
  8. Li CM, Zhang X, Hoffman HJ, Cotch MF, Themann CL, Wilson MR, et al. Hearing impairment associated with depression in us adults, national health and nutrition examination survey 2005-2010. JAMA Otolaryngol Head Neck Surg 2014; 140:293–302.
  9. Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. The Lancet 2017; 390:2673–734.
  10. Deal JA, Betz J, Yaffe K, Harris T, Purchase-Helzner E, Satterfield S, et al. Hearing impairment and incident dementia and cognitive decline in older adults: the health ABC study. J Gerontol A Biol Sci Med Sci 2017; 72:703–9.
  11. Agarwal S, Mishra A, Jagade M, Kasbekar V, Nagle SK. Effects of hypertension on hearing. Indian J Otolaryngol Head Neck Surg 2013; 65(3):S614–8.
  12. World Health Organization. Grades of hearing impairment. World Health Organization. [cited April 10th 2020]. Available from:
  13. Hall JE, Guyton AC. Pituitary hormones and their control by the hypothalamus. In: Hall JE editor. Guyton and Hall Medical Physiology, 11th ed. Philadelphia: Elsevier Saunders, 2006: 918–1041.
  14. Levine SC, deSouza C, Shinners MJ. Intracranial complications of otitis media. In: Gulya AJ, Minor AB, Poe DS editors. Glasscock-ShambaughSurgery of the Ear. Shelton, Connecticut: People’s Medical Publishing House-USA, 2010: 443–61.
  15. Fransen E, Topsakal V, Hendrickx JJ, Van Laer L, Huyghe JR, Van Eyken E, et al. Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: a European population-based multicenter study. JARO 2008; 9(3): 264-76.
  16. Bachor E, Selig YK, Jahnke K, Rettinger G,Karmodi CS. Vascular variations of the inner ear. Acta Otolaryngol 2001; 121(1):35–41.
  17. Rarey KE, Ma YL, Gerhardt KJ, Fregly MJ, Garg LC, Rybak LP. Correlative evidence of hypertension and altered cochlear microhomeostasis: electrophysiological changes in the spontaneously hypertensive rat. Hear Res 1996;102(1–2):63–9.
  18. Ohinata Y, Makimoto K, Kawakami M, Haginomori SI, Araki M, Takahashi H, et al. Blood viscosity and plasma viscosity in patients with sudden deafness. Acta Otolaryngol 1994; 114(6):601–7.
  19. Morizane I, Hakuba N, Shimizu Y, Shinomori Y, Fujita K, Yoshida T, Shudou M, et al. Transient cochlear ischemia and its effect of stria vaskularis. Neuroreport 2005; 16:799- 802
  20. Lin BM, Curhan SG, Wang M, Eavey R, Stankovic KM, Curhan GC, et al. Hypertension, diuretic use, and risk of hearing loss. AmJ Med 2016; 129(4): 416-22.
  21. Ito S, Fuse T, Yokota M, Watanabe T, Inamura K, Gon S, et al. Prognosis is predicted by early hearing improvement in patients with idiopathic sudden sensorineural hearing loss. ClinOtolaryngol Allied Sci 2002; 27(6): 501-4.
  22. Bell K, Twiggs J, Olin BR. Hypertension: the silent killer: updated JNC-8. Guideline Recommendation. Alabama Pharm Assoc 2015;1–8.


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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.