Abstract
Objective: To determine frequency of cardiovascular
comorbidities in patients with benign prostate
enlargement (BPH).
Methodology: This cross sectional study was
conducted at department of urology CMC/SMBBMU
Larkana, from 01-01-2-2019 to 31-12-2019. It
included 100 patients who admitted with BPH and
hypertension and cardiovascular pathology. Age and
duration of BPH symptoms like urgency, frequency)
and HTN were recorded. Stratification of age and
duration of BPH to see the impact of these on outcome
variables were noted.Data were analyze on SPSS
version 22.
Results: Age range was 50 – 81 years. Out of 100
patients, 25 had raised blood pressure more than 140 –
90 mmHg, with highest blood pressure of 190 –
120 mmHg. Out of these, 25 patients, when further
investigated by cardiologist, 11 had cardiovascular
problems like decreased ejection fraction, left
ventricular hypertrophy, left ventricular failure,
ischemic heart disease and non-significant ECG
changes. Among these 11 patients, nine were managed
and surgery was done successfully without any
unwanted issues. Two patients were with very low
ejection fraction of less than 20% were unfit for
surgery and hence surgery was not performed.
Conclusion: Most of patients with BPH have risk
factors like hypertension and cardiac issues.Such
patients should be properly investigated to prevent
morbidity or mortality.
Keywords: BPH, hypertension, cardio vascular
events.