PMID- 37980226
OWN - NLM
STAT- MEDLINE
DCOM- 20231205
LR  - 20231205
IS  - 1989-4805 (Electronic)
IS  - 1889-1837 (Linking)
VI  - 40
IP  - 4
DP  - 2023 Oct-Dec
TI  - [Lower urinary tract symptoms in patients with arterial hypertension. 
      Cardiovascular risk and impact on their quality of life].
PG  - 205-214
LID - S1889-1837(23)00035-1 [pii]
LID - 10.1016/j.hipert.2023.05.008 [doi]
AB  - OBJETIVES: To determine the prevalence of erectile lower urinary tract symptoms 
      in hypertensive patients, cardiovascular risk and the impact on quality of life. 
      MATERIAL AND METHODS: Setting: Health Center (Vilagarcia, Pontevedra). PERIOD: 
      April 2015-June 2017. INCLUSION CRITERIA: Hypertensive patient with informed 
      consent. MEASUREMENTS: 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). SAMPLE SIZE: n=262 (+/- 6% accuracy, 95% confidence). STATISTICAL 
      ANALYSIS: 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.
CI  - Copyright (c) 2023. Publicado por Elsevier Espana, S.L.U.
FAU - Diosdado-Figueiredo, M
AU  - Diosdado-Figueiredo M
AD  - Equipo de Atencion Primaria, Vilanova de Arousa, Pontevedra, Espana. Electronic 
      address: Monica.Diosdado.Figueiredo@sergas.es.
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Sintomas del tracto urinario inferior en pacientes con hipertension arterial. 
      Riesgo cardiovascular e impacto en su calidad de vida.
DEP - 20231118
PL  - Spain
TA  - Hipertens Riesgo Vasc
JT  - Hipertension y riesgo vascular
JID - 101510649
SB  - IM
MH  - Male
MH  - Humans
MH  - Aged
MH  - *Erectile Dysfunction/drug therapy/epidemiology/etiology
MH  - *Cardiovascular Diseases/etiology/complications
MH  - Quality of Life
MH  - Obesity, Abdominal/complications
MH  - Risk Factors
MH  - *Lower Urinary Tract Symptoms/epidemiology/etiology/drug therapy
MH  - *Hypertension/complications/epidemiology
MH  - Heart Disease Risk Factors
OTO - NOTNLM
OT  - Abdominal obesity
OT  - Cardiovascular risk
OT  - Disfuncion erectil
OT  - Erectile dysfunction
OT  - Hipouricemiantes
OT  - Hypouricemic agents
OT  - Lower urinary tract symptoms
OT  - Obesidad abdominal
OT  - Riesgo cardiovascular
OT  - Sintomas del tracto urinario inferior
OT  - Tabaco
OT  - Tobacco
EDAT- 2023/11/19 09:42
MHDA- 2023/12/05 12:44
CRDT- 2023/11/18 22:00
PHST- 2022/11/29 00:00 [received]
PHST- 2023/05/16 00:00 [revised]
PHST- 2023/05/17 00:00 [accepted]
PHST- 2023/12/05 12:44 [medline]
PHST- 2023/11/19 09:42 [pubmed]
PHST- 2023/11/18 22:00 [entrez]
AID - S1889-1837(23)00035-1 [pii]
AID - 10.1016/j.hipert.2023.05.008 [doi]
PST - ppublish
SO  - Hipertens Riesgo Vasc. 2023 Oct-Dec;40(4):205-214. doi: 
      10.1016/j.hipert.2023.05.008. Epub 2023 Nov 18.