You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction III (PD44)1 Apr 2020PD44-02 NOCTURIA: A RED ALARM FOR CARDIOVASCULAR EVENTS MEDIATED BY CENTRAL ARTERIAL STIFFNESS? Steffi Kar Kei Yuen*, Alex Qinyang Liu, Chi Kwok Chan, Crystal Li, Sze-Wan Kwok, Chi Hang Yee, Yuen Chun Jeremy Teoh, and Chi Fai Ng Steffi Kar Kei Yuen*Steffi Kar Kei Yuen* More articles by this author , Alex Qinyang LiuAlex Qinyang Liu More articles by this author , Chi Kwok ChanChi Kwok Chan More articles by this author , Crystal LiCrystal Li More articles by this author , Sze-Wan KwokSze-Wan Kwok More articles by this author , Chi Hang YeeChi Hang Yee More articles by this author , Yuen Chun Jeremy TeohYuen Chun Jeremy Teoh More articles by this author , and Chi Fai NgChi Fai Ng More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000931.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To explore the relationship between nocturia, brachial ankle pulse wave velocity (baPWV) and cardiovascular (CV) events. Nocturia is closely interlinked with CV health. Central artery stiffness (CAS), quantified by baPWV, highly correlates with systemic atherosclerosis. baPWV >1800cm/s is shown to be a significant independent risk factor for future CV events. METHODS: We studied 246 consecutive men (mean age 68.1±8.4, range 39-87) via new urology clinic referrals for nocturia with baseline assessments, followed by measurement of bilateral baPWV with automatic pulse waveform analyser. We then longitudinally observe for any CV events, defined as acute myocardial infarction, acute coronary syndrome, cerebrovascular accidents. Men with aortic aneurysm, cardiac arrhythmia, peripheral vascular disease or hypothermia are excluded. Statistical tests comprise of analysis of variance, multivariate logistic regression, survival analysis. RESULTS: The mean baPWV 1820±16cm/s of our cohort is significantly higher than previously reported value of population of similar age structure (∼1650 cm/s). Fig 1 shows that baPWV significantly increases (worsening CAS) with nocturia. Multivariate logistic regression analysis shows that age (OR: 2.70, 95%CI: 1.52-4.76), diabetes (OR: 2.26, 95%CI: 1.06-4.83), hypertension (OR:1.95, 95%CI 1.10-3.45) and nocturia >2 per night (OR: 1.75, 95%CI: 1.02-3.12) are independent determining factors for baPWV >1800cm/s. Fig 2 depicts the CV events free survival curve stratified by severity of nocturia and baPWV, showing the group with nocturia ≥4 per night and baPWV >1800cm/s trending as most susceptible to encountering CV events (log rank test; p= 0.06), comparing to groups with less severe nocturia and baPWV, for a mean follow-up of 630 days. CONCLUSIONS: baPWV, reflecting CAS, is correlated positively with degree of nocturia in men. Those with nocturia ≥4 episodes and baPWV >1800cm/s are at highest risk of encountering CV events. These results suggest that nocturia in men may serve as an additional risk factor for CV health. Source of Funding: Nil © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e906-e907 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Steffi Kar Kei Yuen* More articles by this author Alex Qinyang Liu More articles by this author Chi Kwok Chan More articles by this author Crystal Li More articles by this author Sze-Wan Kwok More articles by this author Chi Hang Yee More articles by this author Yuen Chun Jeremy Teoh More articles by this author Chi Fai Ng More articles by this author Expand All Advertisement PDF downloadLoading ...
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