OBJECTIVES: To elucidate the clinical characteristics and long-term prognosis of cardiogenic vertigo (CV).
✦ The floor
Discussion
Signed responses from readers of the wire.
✦ Clinical Takeaway ✦
Audiologists seeing patients with unexplained vertigo should be alert to cardiac causes, but this retrospective study's prognostic predictors require prospective validation before changing referral or workup protocols.
✦ Why It Matters ✦
Cardiogenic vertigo is underrecognised in audiology and vestibular clinics; clearer prognostic markers could improve triage and interdisciplinary referral pathways.
✦ Key Points ✦
- 01Retrospective design examining clinical features of vertigo caused by cardiac conditions.
- 02Study aims to identify predictors of long-term prognosis in cardiogenic vertigo patients.
- 03Published in Journal of Neurology (2026); doi: 10.1007/s00415-026-14025-3.
- 04Cardiogenic vertigo is a differential diagnosis that audiologists and vestibular specialists must consider.
- 05Findings may inform referral criteria between vestibular, neurology, and cardiology services.
✦ Claims & Evidence ✦
ClaimEvidenceSupport
Cardiogenic vertigo has identifiable clinical characteristics that can predict long-term prognosis.
studypartially supported✦ Research metadata ✦
- PMID
- 42554783
- DOI
- 10.1007/s00415-026-14025-3.
- Journal
- Journal of Neurology
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients with vertigo attributable to cardiac aetiology
- Intervention
- Clinical characterisation and prognostic predictor identification in cardiogenic vertigo
Primary outcomes
Clinical characteristics of cardiogenic vertigo; Predictors of long-term prognosis