If the heartbeat in the ears persists, there is a possibility of cerebrovascular disease
Feb 24, 2025
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First of all, pulsating tinnitus refers to a state in which the sound of a rhythm, such as one's heart beat, is repeatedly heard in the ear. Unlike common tinnitus sounds such as 'Beep~', 'Wing~', it is characterized by pulse sounds such as 'DKDK' and 'DKDK'. Unlike common tinnitus, pulsating tinnitus is likely to have objective factors such as actual blood flow changes or physical structural problems, so accurate diagnosis and identification of the cause are essential.
Although pulsating tinnitus has a lower incidence than general tinnitus, up to 10% of all tinnitus patients are reported. Professor Kim Young-ho emphasized that early diagnosis is important because there are cases where a cure is possible if an accurate diagnosis is made, unlike common tinnitus, and it may be a signal of a serious underlying disease.
Also, tinnitus itself may not be a disease, but a symptom associated with many diseases related to the ear. Tinnitus is generally classified as subjective and percussive tinnitus, which can also be divided into things that occur in the hearing organs themselves (audible), and things that occur in the surrounding structures of the hearing organs such as muscles and blood vessels and are felt through the hearing organs (non-audible).
Among tinnitus, auditory tinnitus due to damage to the auditory organs accounts for the majority. Although it is not yet fully identified, abnormal signals are generated due to damage to the auditory organs and this is presumed to be detected as tinnitus in the central nervous system.
The underlying causes of damage to the auditory organs include age changes, damage caused by strong noise, sensory nerve hearing loss of unknown causes, Meniere's disease, and chronic otitis media.
pulsating tinnitus may be caused by various vascular diseases. One of them is the arteriovenous fistula. An arteriovenous fistula is an abnormally direct connection between arteries and veins, and the overall vascular resistance decreases as blood moves abnormally fast into the veins, and the heart beats stronger and faster to compensate for this, and the heartbeat is heard in the ears. If the arteriovenous fistula is left unattended, it can lead to various complications such as cranial neuropathy, cerebral hemorrhage, and cerebral infarction, so early diagnosis and treatment are important.
Carotid artery stenosis is also one of the major vascular causes. Blood flows rapidly in the narrowed area of the carotid artery, causing a clanging sound or a clanging sound. If the stenosis becomes severe, the risk of stroke increases rapidly, and patients with carotid artery stenosis are often accompanied by heart disease or peripheral vascular disease, increasing the risk of myocardial infarction.
In addition, diseases commonly complained by women, such as anemia, hyperthyroidism, and uterine myoma, can also cause pulsating tinnitus. As the heart rate increases and the blood flow increases, you can hear a pounding sound. In uterine myoma and pulsating tinnitus, continuous bleeding from uterine myoma rather than a direct association causes chronic anemia, resulting in pulsating tinnitus due to changes in blood flow and blood pressure. It can be cured with appropriate treatment.
Professor Kim Young-ho said, "Park Dong-seong tinnitus is associated with not only otolaryngological examinations and physical examinations, but also various vascular diseases, so it is highly likely that an angiography, CT, MRI, etc. will be necessary." Therefore, it is important not to pass it over as a simple stress symptom, but to receive accurate diagnosis and treatment by seeing a specialist."
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This article was translated by Naver AI translator.
