Stress and Nervous System

    Apple Hearing Study: Tinnitus and Heart Rate Variability

    Stress Physiology and Tinnitus Severity: Insights from HRV

    University of Michigan & Apple2025

    Apple Hearing Study (University of Michigan School of Public Health). Tinnitus and Heart Rate Variability Study Update. 2025.

    Overview

    The Apple Hearing Study update reports associations between greater tinnitus severity and lower heart rate variability, an indicator of autonomic stress load.

    Key Findings

    • Lower HRV was associated with louder, more frequent, or longer-lasting tinnitus symptoms.
    • Stress was one of the most frequently reported tinnitus triggers after noise exposure.
    • HRV may serve as an objective biomarker for tracking stress-related tinnitus change over time.

    Clinical Takeaway

    Stress regulation strategies are clinically relevant in tinnitus care because autonomic load may influence symptom intensity.

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