Vascular Health and Risk Management (Mar 2023)
Possible Clinical Benefits of Cardio-Ankle Vascular Index Measurement in Urological Diseases
Abstract
Emre Bulbul,1 Murat Oguz Ozilhan,2 Ali Sezer,3 Mustafa Yetisen,4 Fahri Yavuz Ilki5 1Department of Urology, Trabzon Vakfıkebir State Hospital, Trabzon, Turkey; 2Department of Cardiology, Ankara City Hospital, Ankara, Turkey; 3Department of Urology, Konya City Hospital, Konya, Turkey; 4Department of Cardiology, Erzurum Oltu State Hospital, Erzurum, Turkey; 5Department of Urology, Gulhane Training and Research Hospital, Ankara, TurkeyCorrespondence: Emre Bulbul, Department of Urology, Trabzon Vakfıkebir State Hospital, Trabzon, 61400, Turkey, Tel +90 536 390 06 11, Fax +90 462 841 35 50, Email [email protected]: Many factors are considered to affect vascular physiology. It is known that one of the reasons for many diseases is a pathology at the microvascular level. Therefore, the relationship between endothelial dysfunction and many diseases is currently being investigated. The clinical evaluations of arterial stiffness have made it possible to perform necessary risk assessment regarding cardiovascular diseases. In this way, protective measures can be taken against microvascular pathologies in many organs. In this paper, we present a review of studies investigating the relationship between urological conditions and the cardio-ankle vascular index (CAVI), a marker of arterial stiffness. As with erectile dysfunction, some studies have shown that conditions such as lower urinary tract symptoms, overactive bladder, and chronic kidney disease are also associated with an elevated CAVI. The association of erectile dysfunction and chronic kidney disease with vascular pathologies has been clearly demonstrated. In addition, lower urinary tract symptoms may be the first sign of silent vascular dysfunction. Assessing arterial stiffness with CAVI can help prevent future cardiovascular events in these patients.Keywords: arterial stiffness, cardio-ankle vascular index, cardiovascular disease, erectile dysfunction, lower urinary tract symptoms, overactive bladder
