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Association between coronary artery disease severity and overactive bladder in geriatric patients

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Abstract

Purpose

To investigate the association between overactive bladder (OAB) and coronary artery disease (CAD) as demonstrated on coronary angiography in patients > 65 years.

Methods

The patients who were > 65 years completed an OAB-V8 form before undergoing coronary angiography at a tertiary care hospital. The presence of OAB was documented using the self-administered OAB-V8 questionnaire. Formal stratification of the coronary vessels plaque burden was assessed by calculation of a Gensini score for each patient. Body mass index (BMI) blood urea nitrogen (BUN), serum lipid profile, fasting plasma glucose, urinalysis, urine culture, uroflowmetry, and postvoiding residual urine volume were measured for each patient.

Results

A total of 308 patients were analysed. Before coronary angiography, the patients were divided into two groups according to the score on the OAB-V8 questionnaire. The OAB group (n: 153) comprised those with a score ≥ 8 and the non-OAB group (n: 155), those with a score < 8. The mean age of the patients was 75.08 ± 5.01 years in the OAB group and 68.73 ± 3.26 years in the non-OAB group (p < 0.001). The Gensini scores of the patients in the OAB and non-OAB groups were 22.48 ± 3.51 and 5.89 ± 2.72, respectively (p = 0.001). In multiple regression analysis, no significant difference was determined between the groups in terms of gender, fasting blood glucose level, presence of hypertension, smoking, BMI, and BUN, except LDL and cholesterol levels.

Conclusions

In this preliminary investigation, the incidence of severe CAD was found to be higher in patients with OAB symptoms.

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Acknowledgements

We express our gratitude to Mrs. Caroline Jane Walker for her support in the proofreading the manuscript.

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Authors and Affiliations

  1. Department of Urology, Ankara Training and Research Hospital, 06340, Ankara, Turkey

    Muhammet Fatih Kilinc, Yildiray Yildiz & Omer Gokhan Doluoglu

  2. Department of Cardiology, Malatya Training and Research Hospital, Malatya, Turkey

    Erdogan Yasar

  3. Department of Cardiology, Oltu State Hospital, Erzurum, Turkey

    Halil Ibrahim Aydin

Authors
  1. Muhammet Fatih Kilinc
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  2. Erdogan Yasar
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  3. Halil Ibrahim Aydin
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  4. Yildiray Yildiz
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  5. Omer Gokhan Doluoglu
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Contributions

MFK: study concept and design, preparation of manuscript. EY: acquisition of subjects and data, preparation of manuscript. HIA: study concept and design, acquisition of subjects and data. YY: acquisition of subjects and data, preparation of manuscript. OGD: study concept and design, preparation of manuscript.

Corresponding author

Correspondence to Muhammet Fatih Kilinc.

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Conflict of interest

The authors declare they have no conflict of interests.

Ethical standards

The present study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Patients gave their informed consent prior to their inclusion in the study.

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Kilinc, M.F., Yasar, E., Aydin, H.I. et al. Association between coronary artery disease severity and overactive bladder in geriatric patients. World J Urol 36, 35–40 (2018). https://doi.org/10.1007/s00345-017-2098-1

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  • DOI: https://doi.org/10.1007/s00345-017-2098-1

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