Ear, nose, & throat journal · 2026
Brachial-Ankle Pulse Wave Velocity as Indicator on the Etiology of Idiopathic Sudden Sensorineural Hearing Loss.
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Song Rui, Hu Chunhua, Feng Yanjun, Wang Jingfan, Yu Zhan
Аннотация
OBJECTIVE: To ascertain brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI) and their usefulness as an additional indicator of idiopathic sudden sensorineural hearing loss (ISSNHL) etiology and prognosis.
METHODS: We retrospectively analyzed 89 adult patients with unilateral ISSNHL and 89 age-matched controls. Patients were classified into good- or poor-prognosis groups based on hearing recovery. All participants accepted the examinations of baPWV, ABI, and pure-tone audiometry testing. Other clinical variables were also collected. Multiple linear regression analysis was used to assess the associations between arterial stiffness factors and pure-tone average; univariate logistic regression was used to evaluate predictors of prognosis.
RESULTS: ISSNHL patients showed significantly higher baPWV than controls (P < .001). Elevated baPWV was associated with increased air-conduction (β = .244, P = .040) and bone-conduction threshold (β = .286, P = .014), and was also associated with poor prognosis (P = .015).
CONCLUSIONS: BaPWV was related to the incidence of ISSNHL and may serve as a useful indicator of disease severity. Its potential relevance to hearing outcomes requires further validation in larger prospective studies.
METHODS: We retrospectively analyzed 89 adult patients with unilateral ISSNHL and 89 age-matched controls. Patients were classified into good- or poor-prognosis groups based on hearing recovery. All participants accepted the examinations of baPWV, ABI, and pure-tone audiometry testing. Other clinical variables were also collected. Multiple linear regression analysis was used to assess the associations between arterial stiffness factors and pure-tone average; univariate logistic regression was used to evaluate predictors of prognosis.
RESULTS: ISSNHL patients showed significantly higher baPWV than controls (P < .001). Elevated baPWV was associated with increased air-conduction (β = .244, P = .040) and bone-conduction threshold (β = .286, P = .014), and was also associated with poor prognosis (P = .015).
CONCLUSIONS: BaPWV was related to the incidence of ISSNHL and may serve as a useful indicator of disease severity. Its potential relevance to hearing outcomes requires further validation in larger prospective studies.