Ive noticed that when the audio doesnt play, the refresh rate change happens a few seconds after the video starts. It should do this right at the beginning. Not sure if this gives any clues.
This could indicate a bottle neck in data transmission. A slow cable is often the issue. So check the HDMI standard of your cable. It should be conform to HDMI 2.0 or 2.1 to handle video AND high speed audio.