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Heart Health and Hearing

What's good for your heart is good for your ears.

Quick answer

Your hearing depends on healthy circulation. The cochlea in the inner ear is supplied mainly by one tiny artery, the labyrinthine artery, with no backup, so its sensory hair cells are sensitive to reduced blood flow. Research has linked cardiovascular risk factors, including high blood pressure, high cholesterol, diabetes, smoking and obesity, with a higher risk of hearing loss, and some researchers describe hearing changes as a possible early signal of vascular problems. A whooshing or pulsing sound that beats in time with your heart (pulsatile tinnitus) can be linked to blood vessel conditions and should always be checked by a doctor. Heart-healthy habits such as regular exercise, a balanced diet, not smoking and managing blood pressure, cholesterol and blood sugar support both heart and ear health.

Key takeaways

Doctors sometimes call the ear a "window" to the cardiovascular system. Here's why.

The inner ear's fragile blood supply

The cochlea is supplied by the labyrinthine artery, a very small vessel with little or no backup circulation. Its hair cells use a lot of energy and depend on a constant flow of oxygen and nutrients.

Heart risk factors linked to hearing

Risk factorPossible effect on the ear
High blood pressureCan damage small vessels
High cholesterolCan narrow arteries
DiabetesDamages small vessels and nerves
SmokingNarrows vessels, reduces oxygen
ObesityLinked to higher hearing loss risk

Pulsatile ringing: see a doctor

A rhythmic whooshing or pulsing sound in time with your heartbeat is different from typical ringing and can be linked to blood vessel conditions. Always have it checked.

Heart-healthy habits for your ears

  1. Exercise at least 150 minutes a week
  2. Eat a Mediterranean- or DASH-style diet
  3. Don't smoke
  4. Know your blood pressure, cholesterol and blood sugar
  5. Keep a healthy weight
  6. Limit alcohol and salt

Tinnitrol supports healthy blood flow, including to the inner ear, with L-arginine as part of a heart-healthy routine. It is not a treatment for heart or vessel conditions.

Sources

  1. Hull RH, Kerschen SR. "The influence of cardiovascular health on peripheral and central auditory function in adults." American Journal of Audiology, 2010.
  2. American Heart Association – "Life's Essential 8."
  3. NIDCD – "Tinnitus."

Common questions

Does heart health affect hearing?

Yes, research links cardiovascular risk factors to hearing loss.

Why is the inner ear sensitive to circulation?

It relies on one tiny artery with little backup.

What is pulsatile tinnitus?

A pulsing sound in time with the heartbeat that should be checked by a doctor.

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