Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study

Ménière’s disease (MD) has an unclear cause. The microvascular dysregulation of the inner ear has been increasingly pointed out as a potential contributor. This study investigates the prevalence of cardiovascular risk factors (CVRFs) in MD patients compared to those with posterior circulation cerebr...

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Main Authors: Francisco Alves de Sousa, João Tarrio, Rita Rodrigues, Clara Serdoura Alves, Mariline Santos, Ana Nóbrega Pinto, Luís Meireles, Ângela Reis Rego
Format: Article
Language:English
Published: MDPI AG 2024-07-01
Series:Journal of Otorhinolaryngology, Hearing and Balance Medicine
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Online Access:https://www.mdpi.com/2504-463X/5/2/10
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author Francisco Alves de Sousa
João Tarrio
Rita Rodrigues
Clara Serdoura Alves
Mariline Santos
Ana Nóbrega Pinto
Luís Meireles
Ângela Reis Rego
author_facet Francisco Alves de Sousa
João Tarrio
Rita Rodrigues
Clara Serdoura Alves
Mariline Santos
Ana Nóbrega Pinto
Luís Meireles
Ângela Reis Rego
author_sort Francisco Alves de Sousa
collection DOAJ
description Ménière’s disease (MD) has an unclear cause. The microvascular dysregulation of the inner ear has been increasingly pointed out as a potential contributor. This study investigates the prevalence of cardiovascular risk factors (CVRFs) in MD patients compared to those with posterior circulation cerebral infarction (POCI). CVRFs like hypertension, diabetes, dyslipidemia, obesity, coronary heart disease, and smoking were assessed in both MD and POCI patients. Brain MRI identified POCI etiology as “small vessel occlusion” (SVO) or “other etiology” (OE). This study included 64 MD and 84 POCI patients. Compared to MD, POCI OE showed a higher prevalence of CVRFs across various age groups, including hypertension, diabetes, dyslipidemia, and smoking. Notably, the odds of having POCI OE were significantly higher for individuals with hypertension and smoking. On the other hand, POCI SVO showed a similar prevalence of CVRFs compared to MD. This study revealed no significant differences in CVRF prevalence between MD and smaller vessel POCI. However, a clear distinction emerged when comparing MD to POCI with the involvement of larger blood vessels. Further research is needed to confirm these findings and explore potential shared risk factors between POCI (SVO) and MD.
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spelling doaj-art-74a8ab846ebb4d97a3eb0eb19a102e2f2024-12-27T14:44:37ZengMDPI AGJournal of Otorhinolaryngology, Hearing and Balance Medicine2504-463X2024-07-01521010.3390/ohbm5020010Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative StudyFrancisco Alves de Sousa0João Tarrio1Rita Rodrigues2Clara Serdoura Alves3Mariline Santos4Ana Nóbrega Pinto5Luís Meireles6Ângela Reis Rego7Otorhinolaryngology and Head & Neck Surgery Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalNeurorradiology Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalNeurology Department, Unidade Local de Saúde de Entre o Douro e Vouga, 4520-211 Santa Maria da Feira, PortugalOtorhinolaryngology and Head & Neck Surgery Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalOtorhinolaryngology and Head & Neck Surgery Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalOtorhinolaryngology and Head & Neck Surgery Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalOtorhinolaryngology and Head & Neck Surgery Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalOtorhinolaryngology and Head & Neck Surgery Department, Unidade Local de Saúde de Santo António, 4099-001 Porto, PortugalMénière’s disease (MD) has an unclear cause. The microvascular dysregulation of the inner ear has been increasingly pointed out as a potential contributor. This study investigates the prevalence of cardiovascular risk factors (CVRFs) in MD patients compared to those with posterior circulation cerebral infarction (POCI). CVRFs like hypertension, diabetes, dyslipidemia, obesity, coronary heart disease, and smoking were assessed in both MD and POCI patients. Brain MRI identified POCI etiology as “small vessel occlusion” (SVO) or “other etiology” (OE). This study included 64 MD and 84 POCI patients. Compared to MD, POCI OE showed a higher prevalence of CVRFs across various age groups, including hypertension, diabetes, dyslipidemia, and smoking. Notably, the odds of having POCI OE were significantly higher for individuals with hypertension and smoking. On the other hand, POCI SVO showed a similar prevalence of CVRFs compared to MD. This study revealed no significant differences in CVRF prevalence between MD and smaller vessel POCI. However, a clear distinction emerged when comparing MD to POCI with the involvement of larger blood vessels. Further research is needed to confirm these findings and explore potential shared risk factors between POCI (SVO) and MD.https://www.mdpi.com/2504-463X/5/2/10Ménière’s diseasestrokevertebrobasilarcardiovascularrisk factorsmicrocirculation
spellingShingle Francisco Alves de Sousa
João Tarrio
Rita Rodrigues
Clara Serdoura Alves
Mariline Santos
Ana Nóbrega Pinto
Luís Meireles
Ângela Reis Rego
Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study
Journal of Otorhinolaryngology, Hearing and Balance Medicine
Ménière’s disease
stroke
vertebrobasilar
cardiovascular
risk factors
microcirculation
title Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study
title_full Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study
title_fullStr Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study
title_full_unstemmed Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study
title_short Cardiovascular Risk Profile in Ménière’s Disease and Posterior Circulation Infarction: A Comparative Study
title_sort cardiovascular risk profile in meniere s disease and posterior circulation infarction a comparative study
topic Ménière’s disease
stroke
vertebrobasilar
cardiovascular
risk factors
microcirculation
url https://www.mdpi.com/2504-463X/5/2/10
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