IMR Press / JOMH / Volume 16 / Issue SP1 / DOI: 10.15586/jomh.v16iSP1.184

Journal of Men’s Health (JOMH) is published by IMR Press from Volume 17 Issue 1 (2021). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with Dougmar Publishing Group.

Original Research


Show Less
1 Medical Park Hospital Complex, Department of Cardiology, Antalya, Turkey
2 School of Medicine, Department of Cardiology, Bahcesehir University, Istanbul, Turkey
3 Cerrahpasa Faculty of Medicine, Department of Cardiology, Istanbul University Cerrahpasa, Istanbul, Turkey
4 Memorial Hospital, Department of Cardiology, Ankara, Turkey
5 School of Medicine, Department of Urology, Istinye University, Istanbul, Turkey
6 School of Medicine, Department of Cardiology, Koc University, Istanbul, Turkey

*Author to whom correspondence should be addressed.

J. Mens. Health 2020, 16(SP1), 4–12;
Submitted: 14 September 2019 | Accepted: 15 January 2020 | Published: 1 April 2020

Erectile dysfunction (ED) has a marked negative effect on quality of life. The association between sustained hypertension (HT) and ED has been clearly shown. However, there is no study evaluating masked HT and ED. We aimed to assess the prevalence of masked HT and the related factors in patients with ED.
A total of 64 consecutive males with ED (mean age: 50.4 ± 9.8 years) were enrolled in the study. The Sexual Health Inventory for Men (SHIM) questionnaire was used to evaluate the erectile status of the patients. Office and 24-h ambulatory blood pressure (BP) of all patients were measured.
We detected masked HT in 24 of 64 patients with ED (37.5%). The SHIM score was slightly lower in masked HT group compared to true normotensives, but the difference was not statistically significant (10.8 ± 5.2 vs. 11.4 ± 4.6; p=0.65). There was no significant correlation between all-day systolic and diastolic BP with SHIM scores (R=0.076, p=0.55; R=0.079; p=0.53). When the patients with masked HT were classified according to the nocturnal BP reduction, the SHIM scores of patients with the nondipping pattern were lower than the dippers (9.8 ± 5.3 vs. 12.0 ± 5.1; p=0.001).
The prevalence of masked HT is high in patients with ED. Patients with masked HT and nondipping nocturnal BP pattern have more profound ED. The coexistence of masked HT and ED is thought to be a marker of increased cardiovascular risk.

arterial hypertension
circadian blood pressure
erectile dysfunction
masked hypertension
Back to top