Cardiogenic vertigo: clinical characteristics and predictors of long-term prognosis

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

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