{Reference Type}: English Abstract
{Title}: [Lower urinary tract symptoms in patients with arterial hypertension. Cardiovascular risk and impact on their quality of life].
{Author}: Diosdado-Figueiredo M;
{Journal}: Hipertens Riesgo Vasc
{Volume}: 40
{Issue}: 4
{Year}: 2023 Oct-Dec 16
暂无{DOI}: 10.1016/j.hipert.2023.05.008
{Abstract}: OBJECTIVE: To determine the prevalence of erectile lower urinary tract symptoms in hypertensive patients, cardiovascular risk and the impact on quality of life.
METHODS: Setting: Health Center (Vilagarcia, Pontevedra).
METHODS: April 2015-June 2017.
METHODS: Hypertensive patient with informed consent.
METHODS: sociodemographic variables, toxic habits, comorbidity, blood pressure, cardiovascular risk, analytical and examination parameters. Questionaries: International Prostate Symptom Scale (IPSS), International Index of Erectile Function (IIEF-15) and quality of life in arterial hypertension (MINICHAL).
METHODS: n=262 (± 6% accuracy, 95% confidence).
METHODS: Bivariate and multivariate statistical analysis. Informed consent and ethics committee approval were obtained (2024/237) RESULTS: The mean age was 65.84 (12.70), and mean hypertension duration of 13.25 (9.84) years. 76.7% reported lower tract urinary symptoms, 91.6% being mild. The bivariate analysis showed an association with the variables: age, educational level, profession, work activity, tobacco, benign prostatic hypertrophy, years of diagnosis, concomitant medication, Framingham-Wilson score, electrocardiogram, glycated hemoglobin, glomerular filtration (Crockroft-Gault), LDL-cholesterol, somatic manifestations (MINICHAL), erectile dysfunction. The multivariate analysis showed increased risk with:abdominal obesity, pathological electrocardiogram, high risk of Framingham-Wilson score, erectile dysfunction, use of hypouricemics agents and decreased with not smoking and use diuretics.
CONCLUSIONS: Three quarters of hypertensive men presented lower urinary tract symptoms, increasing the risk of cardiovascular disease early according to the Framingham-Wilson score. Other predictive factors were: abdominal obesity, tobacco, pathological electrocardiogram, high Framingham-Wilson score, erectile dysfunction, use of hypouricemics agents.