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Updated: Oct 26, 2025
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Published on: February 10, 2023
Prevalence of lower urinary tract symptoms in patients with cardiovascular disease
Karolina Semczuk-Kaczmarek1, Anna Rys-Czaporowska1, Anna E Platek2
1I Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Insights
Lower urinary tract symptoms (LUTS) affect over a third of cardiovascular patients, with coronary artery disease patients experiencing more severe symptoms. This highlights a significant overlap between cardiovascular disease and LUTS prevalence.
Area of Science:
- Cardiology
- Urology
- Public Health
Background:
- Lower urinary tract symptoms (LUTS) may indicate increased cardiovascular risk.
- Limited data exists on LUTS prevalence in cardiovascular disease (CVD) patient populations.
- Cardiovascular diseases are a leading cause of morbidity and mortality globally.
Purpose of the Study:
- To determine the prevalence of LUTS in patients hospitalized with cardiovascular disease.
- To investigate potential associations between LUTS and specific cardiovascular conditions.
- To assess the severity of LUTS in relation to different types of cardiovascular disease.
Main Methods:
- Inclusion of patients hospitalized with primary cardiovascular diagnoses (coronary artery disease, heart failure, arrhythmia).
- Screening for LUTS using the International Prostate Symptom Score (IPSS).
- Analysis of demographic and clinical data to identify factors associated with LUTS.
Main Results:
- Moderate to severe LUTS were diagnosed in 37.3% of 166 patients.
- Older age was associated with LUTS; other factors showed no statistical significance.
- Patients with coronary artery disease exhibited significantly higher LUTS severity (mean IPSS 8.88) compared to those with arrhythmia (5.6) or heart failure (5.5).
Conclusions:
- LUTS are highly prevalent in patients with cardiovascular diseases, affecting over a third of this population.
- Coronary artery disease is associated with a significantly greater severity of LUTS compared to other cardiovascular conditions.
- These findings underscore the importance of screening for LUTS in cardiovascular patients.
Introduction:
The presence of lower urinary tract symptoms (LUTS) might be linked with elevated cardiovascular risk. There is a lack of data showing the prevalence of LUTS in the population of patients with cardiovascular diseases. The current study aimed to determine the prevalence of LUTS in patients hospitalized due to a cardiovascular disease.
Material And Methods:
Patients hospitalized in a tertiary cardiology department due to a primary diagnosis of cardiovascular disease (including coronary artery disease, heart failure and arrhythmia) were included in the study. All patients were screened for LUTS and assessed using the International Prostate Symptoms Score (IPSS).
Results:
From 166 patients (age 62.8 ±12.1 years), moderate to severe LUTS was diagnosed in 62 patients (37.3%). Patients with LUTS were significantly older, but there were no other factors associated with LUTS. When we divided patients according to LUTS severity, we saw an increasing prevalence of arterial hypertension (69.5% vs 72.9% vs 100%), diabetes mellitus (29.5% vs 33.3% vs 38.5%), coronary artery disease (68.6% vs 72.9% vs 92.3%), but the observations were not statistically significant. Patients with coronary artery disease had significantly higher severity of LUTS compared to patients with arrhythmia or heart failure (mean IPSS 8.88 vs 5.6 vs 5.5, p = 0.004).
Conclusions:
The prevalence of LUTS in patients with cardiovascular diseases is high, affecting 37.3% of the studied population. Patients with coronary artery disease have significantly higher severity of LUTS compared to other cardiovascular diseases.
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