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Škerková M, Kovalová M, Rychlý T, Tomášková H, Šlachtová H, Čada Z, Maďar R, Mrázková E. Extended high-frequency audiometry: hearing thresholds in adults. Eur Arch Otorhinolaryngol 2023; 280:565-572. [PMID: 35763083 PMCID: PMC9244329 DOI: 10.1007/s00405-022-07498-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 06/07/2022] [Indexed: 01/21/2023]
Abstract
PURPOSE This study aimed to determine hearing thresholds in an otologically normal population without occupational noise exposure aged 18 to 64 years using extended high-frequency audiometry (EHFA). METHODS Individuals from the general population who have never had hearing problems and whose job was not associated with noise exposure were included in the study and classified by age into 5 categories: 18-24 and, further, by 10 years of age. Each of these groups was further divided according to gender. All subjects underwent tympanometry, conventional pure-tone audiometry within the 0.125-8 kHz range, and extended high-frequency audiometry within the 9-16 kHz range, performed according to the standards. The significance level for statistical testing was set at 5%. RESULTS Here, we established hearing thresholds in an otologically healthy population within the extended high-frequency (EHF) range (9-16 kHz). We found the EHFA to be a highly sensitive method for early detection of hearing loss, with hearing thresholds decreasing as soon as 35 years of age. In males, the hearing thresholds grew with age more rapidly than in women. The ability to respond at EHF gradually decreased with age and increasing frequency. CONCLUSION Our results can help improve the knowledge of EHF hearing thresholds for individual sexes and age groups. So far, the standard 7029:2017 is not binding and, moreover, it only reaches up to the frequency of 12.5 kHz. EHFA is a highly sensitive method for the evaluation of hearing loss depending on age and sex.
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Affiliation(s)
- Michaela Škerková
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic.
| | - Martina Kovalová
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic
| | - Tomáš Rychlý
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic
| | - Hana Tomášková
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic
| | - Hana Šlachtová
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic
| | - Zdeněk Čada
- Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of Medicine Charles University in Prague and Motol University Hospital, Postgraduate Medical School, 150 06, Prague 5, Czech Republic
| | - Rastislav Maďar
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic
| | - Eva Mrázková
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic
- Hospital Center for Hearing and Balance Disorders, 708 00, Ostrava, Czech Republic
- Department of ENT, Regional Hospital Havirov, 736 01, Havirov, Czech Republic
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Plášek J, Rychlý T, Drieniková D, Cisovský O, Grézl T, Homza M, Václavík J. The Agreement of a Two- and a Three-Dimensional Speckle-Tracking Global Longitudinal Strain. J Clin Med 2022; 11:jcm11092402. [PMID: 35566528 PMCID: PMC9102189 DOI: 10.3390/jcm11092402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/19/2022] [Accepted: 04/23/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Two-dimensional (2D) and three-dimensional (3D) speckle-tracking echocardiography (STE) enables assessment of myocardial function. Here, we examined the agreement between 2D and 3D STE measurement of a global longitudinal strain (GLS) in patients with normal left ventricle, reduced ejection fraction, and cardiac pacing. Methods: Our analysis included 90 consecutive patients (59% males; average age: 73.2 ± 11.2 years) examined between May 2019−December 2020, with valid 2D and 3D loops for further speckle-tracking strain analysis. Linear regression, Pearson correlation, and a Bland−Altman plot were used to quantify the association between 2D and 3D GLS and related segments, using the 17-segment American Heart Association (AHA) model. Analyses were performed in the entire study group and subgroups. Intra- and inter-observer variability of 2D and 3D GLS measurement was also performed in all participants. Results: We observed a strong correlation between 2D and 3D GLS measurements (R = 0.76, p < 0.001), which was higher in males (R = 0.78, p < 0.001) than females (R = 0.69, p < 0.001). Associated segment correlation was poor (R = 0.2−0.5, p < 0.01). The correlation between 2D and 3D GLS was weaker in individuals with ventricular pacing of >50% (R = 0.62, p < 0.001) than <50% (R = 0.8, p < 0.001), and in patients with LVEF of <35% (R = 0.69, p = 0.002) than >35% (R = 0.72, p < 0.001). Intra-observer variability for 2D and 3D GLS was 2 and 2.3%, respectively. Inter-observer variability for 2D and 3D GLS was 3.8 and 3.6%, respectively Conclusion: Overall 2D and 3D GLS were closely associated but not when analyzed per segment. It seems that GLS comparison is more representative of global shortening than local displacement. Right ventricular pacing and reduced left ventricular ejection fraction were associated with a reduced correlation between 2D and 3D GLS.
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Affiliation(s)
- Jiří Plášek
- Department of Internal Medicine and Cardiology, University Hospital Ostrava, 708 52 Ostrava, Czech Republic; (D.D.); (T.G.); (J.V.)
- Benedor Cardiology Outpatient Clinic Ltd., 708 00 Ostrava, Czech Republic; (T.R.); (O.C.); (M.H.)
- Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic
- Correspondence: ; Tel.: +40-776-658-598
| | - Tomáš Rychlý
- Benedor Cardiology Outpatient Clinic Ltd., 708 00 Ostrava, Czech Republic; (T.R.); (O.C.); (M.H.)
- Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic
| | - Diana Drieniková
- Department of Internal Medicine and Cardiology, University Hospital Ostrava, 708 52 Ostrava, Czech Republic; (D.D.); (T.G.); (J.V.)
- Benedor Cardiology Outpatient Clinic Ltd., 708 00 Ostrava, Czech Republic; (T.R.); (O.C.); (M.H.)
| | - Ondřej Cisovský
- Benedor Cardiology Outpatient Clinic Ltd., 708 00 Ostrava, Czech Republic; (T.R.); (O.C.); (M.H.)
- Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic
| | - Tomáš Grézl
- Department of Internal Medicine and Cardiology, University Hospital Ostrava, 708 52 Ostrava, Czech Republic; (D.D.); (T.G.); (J.V.)
- Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic
| | - Miroslav Homza
- Benedor Cardiology Outpatient Clinic Ltd., 708 00 Ostrava, Czech Republic; (T.R.); (O.C.); (M.H.)
- Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic
| | - Jan Václavík
- Department of Internal Medicine and Cardiology, University Hospital Ostrava, 708 52 Ostrava, Czech Republic; (D.D.); (T.G.); (J.V.)
- Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic
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Mrázková E, Kovalová M, Čada Z, Gottfriedová N, Rychlý T, Škerková M. High-Frequency Audiometry in Women with and without Exposure to Workplace Noise. Int J Environ Res Public Health 2021; 18:ijerph18126463. [PMID: 34203734 PMCID: PMC8296259 DOI: 10.3390/ijerph18126463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 06/11/2021] [Accepted: 06/11/2021] [Indexed: 11/16/2022]
Abstract
For this study, high-frequency audiometry was used to compare the hearing thresholds, with respect to age, among women exposed to noise in their working environment, as well as those not exposed to such noise. The cohort comprised 243 women (average age 36.2 years), of which 88 women were employed in a noisy (LAeq,8h 85-105 dB) workplace, while 155 women did not experience noise. Age categories were determined according to the World Health Organization (Geneva, Switzerland). Hearing thresholds were measured at frequencies of 0.125-16 kHz. Higher hearing thresholds were found in the youngest age groups (18-29 and 30-44 years) among those exposed to noise, as compared to those who were not. The difference in hearing thresholds between the exposed and unexposed groups increased with age, as well as with the frequencies. The highest difference in hearing thresholds for these age categories was measured at 11.25 kHz. The oldest age group (45-63 years) exposed to noise showed lower hearing thresholds than the unexposed group at all frequencies from 4 kHz to 16 kHz. High-frequency audiometry can be used for the early detection of increased hearing thresholds at high frequencies. High-frequency audiometry could be included in preventive programs, especially for younger people exposed to noise, in order to enable earlier detection of noise-induced hearing loss.
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Affiliation(s)
- Eva Mrázková
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic; (M.K.); (N.G.); (T.R.); (M.Š.)
- Center for Hearing and Balance Disorders, 708 00 Ostrava, Czech Republic
- Department of Otorhinolaryngology and Head and Neck Surgery, Regional Hospital, 736 01 Havířov, Czech Republic
- Correspondence:
| | - Martina Kovalová
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic; (M.K.); (N.G.); (T.R.); (M.Š.)
| | - Zdeněk Čada
- Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of Medicine Charles, University in Prague and Motol University Hospital, Postgraduate Medical School, 121 08 Prague, Czech Republic;
| | - Nikol Gottfriedová
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic; (M.K.); (N.G.); (T.R.); (M.Š.)
| | - Tomáš Rychlý
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic; (M.K.); (N.G.); (T.R.); (M.Š.)
| | - Michaela Škerková
- Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic; (M.K.); (N.G.); (T.R.); (M.Š.)
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