European Archives of Oto-Rhino-Laryngology

, Volume 272, Issue 11, pp 3089–3094 | Cite as

Tinnitus and arterial hypertension: a systematic review

  • Ricardo Rodrigues Figueiredo
  • Andréia Aparecida de Azevedo
  • Norma de Oliveira Penido
Review Article


Tinnitus is considered a multi-factorial symptom. Arterial hypertension has been cited as a tinnitus etiological factor. To assess the scientific evidence on the associations between arterial hypertension and tinnitus. A systematic review was performed using PubMed, ISI Web, Lilacs and SciELO scientific databases. This review included articles published in Portuguese, Spanish, French and English correlating tinnitus with hypertension. Letters to editors and case reports were excluded. A total of 424 articles were identified, of which only 20 met the inclusion criteria. Studies that analyzed the incidence of hypertension in tinnitus patients tended to show an association, while those that evaluated the incidence of tinnitus in hypertensive patients did not. There is evidence of an association between tinnitus and hypertension, although a cause and effect relationship is uncertain. Changes in the cochlear microcirculation, resulting in hearing loss, may be an adjuvant factor in tinnitus pathophysiology


Tinnitus Arterial hypertension 



Lisa Thuler, for the manuscript English revision.

Conflict of interest

The authors declare no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Ricardo Rodrigues Figueiredo
    • 1
    • 2
  • Andréia Aparecida de Azevedo
    • 3
  • Norma de Oliveira Penido
    • 4
  1. 1.Federal University of São PauloSão PauloBrazil
  2. 2.Valença Medical SchoolValençaBrazil
  3. 3.Otorrinolaringologia Sul-FluminenseVolta RedondaBrazil
  4. 4.Federal University of São PauloSão PauloBrazil

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