Pulsatile tinnitus: what does it mean when you hear your heartbeat in your ear?

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Jan , 19. 12. 2025

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Do you hear a rhythm in your ear that resembles a heartbeat? This peculiar sensation may be a sign of so-called pulsatile tinnitus – a symptom that should definitely not be ignored. Although it can be a harmless phenomenon, it may also indicate a more serious health problem. In this article we will look at the causes, risks and recommendations that can help you recognize when it’s time to see a doctor.

What is pulsatile tinnitus?

Unlike classic tinnitus, which manifests as ringing or buzzing, pulsatile tinnitus resembles a heartbeat in one or both ears. This rhythmic sound is often synchronous with your pulse and can be especially disruptive during sleep or in a quiet environment.

Most common causes of pulsatile tinnitus

According to experts, this phenomenon often arises due to changes in blood flow in the vessels near the ear. Common causes include:

  • atherosclerosis
  • aneurysm
  • high blood pressure
  • middle ear infections
  • tumors in the head and neck area
  • hearing loss

When to see a doctor?

If this sensation lasts longer than a few days, it is necessary to consult a specialist. An ENT doctor may recommend further tests, such as MRI or angiography. Warning signs include:

  • ear pain
  • discharge from the ear
  • impaired hearing
  • loss of balance
  • a feeling of pressure in the ear

How can you help yourself?

  • limit caffeine and alcohol
  • avoid loud environments
  • learn relaxation techniques
  • monitor your blood pressure

Conclusion

Pulsatile tinnitus is a warning signal the body sends us. Although it does not always mean a serious disease, it is important to pay attention to it and not wait for additional symptoms to appear. Regular check-ups with a doctor, a healthy lifestyle and caring for the cardiovascular system are the best ways to protect your health and your hearing.

If you liked the article, share it with your loved ones – they might also be hearing more than they should.