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Sensorineural Hearing Impairment and Subclinical Atherosclerosis in Rheumatoid Arthritis Patients Without Traditional Cardiovascular Risk Factors.
Macias-Reyes, Hector; Duran-Barragan, Sergio; Cardenas-Contreras, Cynthia R; Chavez-Martin, Cesar G; Gomez-Bañuelos, Eduardo; Navarro-Hernandez, Rosa E; Yanowsky-Gonzalez, Carlos O; Gonzalez-Lopez, Laura; Gamez-Nava, Jorge I; Vazquez-Del Mercado, Monica.
Afiliação
  • Macias-Reyes H; Department of Otorhinolaryngology, Hospital Civil Fray Antonio Alcalde, Guadalajara, Mexico.
  • Duran-Barragan S; Department of Rheumatology, Instituto De Investigación En Reumatología Y Del Sistema Musculoesquelético, Guadalajara, Mexico.
  • Cardenas-Contreras CR; Department of Rheumatology, Clínica De Investigación En Reumatología Y Obesidad, Guadalajara, Mexico.
  • Chavez-Martin CG; Department of Otorhinolaryngology, Hospital Civil Fray Antonio Alcalde, Guadalajara, Mexico.
  • Gomez-Bañuelos E; Department of Otorhinolaryngology, Hospital Civil Fray Antonio Alcalde, Guadalajara, Mexico.
  • Navarro-Hernandez RE; Department of Rheumatology, Instituto De Investigación En Reumatología Y Del Sistema Musculoesquelético, Guadalajara, Mexico.
  • Yanowsky-Gonzalez CO; Department of Rheumatology, Instituto De Investigación En Reumatología Y Del Sistema Musculoesquelético, Guadalajara, Mexico.
  • Gonzalez-Lopez L; Department of Rheumatology, Instituto De Investigación En Reumatología Y Del Sistema Musculoesquelético, Guadalajara, Mexico.
  • Gamez-Nava JI; Department of Rheumatology, Hospital General Regional 110, IMSS, Guadalajara, Mexico.
  • Vazquez-Del Mercado M; Unidad Médica De Alta Especialidad, CMNO, IMSS, Rheumatology, Guadalajara, Mexico.
Arch Rheumatol ; 31(3): 208-214, 2016 Sep.
Article em En | MEDLINE | ID: mdl-29900940
OBJECTIVES: This study aims to evaluate the association of hearing impairment with carotid intima-media thickness and subclinical atherosclerosis in rheumatoid arthritis (RA) patients. PATIENTS AND METHODS: A total of 41 RA patients (2 males, 39 females; mean age 46.5±10.2 years; range 20 to 63 years) with no known traditional cardiovascular risk factors were included. Routine clinical and laboratory assessments for RA patients were performed. Pure tone air (250-8000 Hz) and bone conduction (250-6000 Hz) thresholds were obtained, tympanograms and impedance audiometry were conducted. Sensorineural hearing impairment was defined if the average thresholds were ≥25 decibels. Carotid intima-media thickness was assessed and classified with a cut-off point of 0.6 mm. RESULTS: Thirteen patients (31.7%) had normal audition, while 28 (68.3%) had hearing impairment. Of these, 22 had bilateral sensorineural hearing impairment. Four patients had conductive hearing impairment (right in three patients and left in one patient). Patients with sensorineural hearing impairment had increased carotid intima-media thickness in the media segment of carotid common artery compared to patients with normal hearing (right ear p=0.007; left ear p=0.075). Thickening of the carotid intima-media thickness was associated with sensorineural hearing impairment in RA patients. CONCLUSION: Rheumatoid arthritis patients should be evaluated by carotid intima-media thickness as a possible contributing factor of hearing impairment in patients without cardiovascular risk factors.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Risk_factors_studies Idioma: En Revista: Arch Rheumatol Ano de publicação: 2016 Tipo de documento: Article País de afiliação: México País de publicação: Turquia
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Risk_factors_studies Idioma: En Revista: Arch Rheumatol Ano de publicação: 2016 Tipo de documento: Article País de afiliação: México País de publicação: Turquia