When a patient’s tinnitus worsens after exercise, it is likely to be considered vascular pulsatile tinnitus, which means that the blood vessels are located close to the patient’s ears, and the sound of tinnitus is particularly severe when the blood vessels are pulsating particularly clearly, and the sound of tinnitus is consistent with the heartbeat and pulse rhythm. The sound of tinnitus is consistent with the rhythm of the heartbeat and pulse. When the patient exercises, the pulsation of the blood vessels will be especially obvious, often triggered by changes in blood pressure, so the patient’s tinnitus will be aggravated. It is advisable for the patient to go to the hospital to have a middle ear CT taken to clarify the patient’s condition. If it is determined to be vascular pulsatile tinnitus, the patient is advised to avoid strenuous activities in life and can usually wear a tinnitus masking device to improve the patient’s tinnitus. After active treatment, the symptoms will improve.