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Co-treatment of lower urinary tract symptoms and cardiovascular disease - where do we stand?
Karolina Semczuk-Kaczmarek1, Anna E Płatek2, Filip M Szymański1
11 Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Insights
Treating cardiovascular risk factors may improve lower urinary tract symptoms (LUTS). Lifestyle changes and medications for cardiovascular disease (CVD) can reduce LUTS severity and cardiovascular mortality.
Area of Science:
- Urology
- Cardiology
- Preventive Medicine
Background:
- The link between cardiovascular disease (CVD) and lower urinary tract symptoms (LUTS) is recognized.
- Healthy lifestyle choices, including diet and exercise, are crucial for managing LUTS severity.
Purpose of the Study:
- To explore the association between LUTS and cardiovascular risk.
- To discuss potential clinical implications for patient management.
Main Methods:
- A comprehensive literature search was conducted.
- The search focused on studies examining the relationship between LUTS and cardiovascular risk factors.
Main Results:
- Cardiovascular risk reduction therapies may alleviate LUTS.
- Statins show potential in reducing benign prostatic hyperplasia (BPH) risk and slowing LUTS progression in hyperlipidemic patients.
- Angiotensin II receptor blockers may decrease LUTS severity in hypertensive individuals.
Conclusions:
- A holistic approach involving urologists and cardiologists is essential for early CVD diagnosis and treatment in LUTS patients.
- Treatments targeting cardiovascular health, such as antihypertensives, antithrombotics, and hypolipidemic therapies, alongside healthy lifestyles, can reduce both cardiovascular mortality and LUTS severity.
Introduction:
The relationship between cardiovascular disease (CVD) and lower urinary tract symptoms (LUTS) is well established. A healthy lifestyle with a good quality diet and regular physical activity is important for reducing the severity of LUTS.
Material And Methods:
A literature search was performed on the subject of association between LUTS and cardiovascular risk.
Results:
The recent data indicates that therapy for cardiovascular risk reduction might also reduce the severity of LUTS (e.g. statins reduce the risk of benign prostatic hyperplasia [BPH] and slow down the progression of LUTS in patients with hyperlipidaemia). Hypertensive patients treated with angiotensin II receptor blockers have a lower severity of LUTS. This paper shortly discusses the relationship between the occurrence of LUTS and CVD and the potential clinical implications regarding the management of the patients.
Conclusions:
Patients with lower urinary tract symptoms require a holistic approach and cooperation of a urologist and cardiologist to diagnose concomitant cardiovascular diseases as early as possible and implement appropriate treatment. Antihypertensive, antithrombotic, hypolipemic therapies and healthy lifestyles reduce not only cardiovascular mortality, but also might reduce the severity of LUTS.
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