A heartbeat sound in the ear after lying down is a sign of pulsatile tinnitus. It may be related to physiologic factors and may resolve on its own. Pathological factors may be related to jugular venous bulboma, skull base and temporal bone hemangioma, head and neck vascular malformation, arteriovenous fistula, idiopathic tinnitus of venous origin and other diseases, which need to be selected according to the etiology and characteristics of the condition and appropriate treatment.
1. Physiological factors: excessive mental stress, fatigue, irregular work and rest, tension or poor rest can be caused. It is recommended to pay attention to rest, adjust sleep, and relieve emotions, which can usually be relieved on their own.
2. Pathological factors: generally caused by vascular lesions, can occur in the relevant lesion area, increased blood pressure, accelerated blood flow or venous reflux obstruction, the formation of intravascular turbulence or vibration, through the middle ear to the inner ear or directly with the inner ear to produce the symptoms of the heartbeat after lying down the ear.
(1) Jugular vein bulboma, skull base and temporal bone hemangioma: the resulting throbbing tinnitus is treated with surgery for the corresponding disease after the cause is identified.
(2) Head and neck vascular malformation, arteriovenous fistula: vascular rerouting, ligation, molding, etc., or selective arterial embolization, endovascular stenting, etc. can be done according to the situation.
(3) Idiopathic tinnitus of venous origin: the cause of such disorders is often unknown, and ligation of the internal jugular vein may be considered after other causes have been ruled out.
When there is a heartbeat sound in the ear after lying down, you can actively consult a doctor for systematic examination, and after clear diagnosis, follow the doctor’s instructions to standardize the treatment.