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Original Research

Open Access


  • Ismail Ates1,2
  • Deniz Mutlu3
  • Zeynettin Kaya1
  • Sercan Okutucu4
  • Mehmet Sarier5
  • Mehmet Cilingiroglu2,6

1Medical Park Hospital Complex, Department of Cardiology, Antalya, Turkey

2School of Medicine, Department of Cardiology, Bahcesehir University, Istanbul, Turkey

3Cerrahpasa Faculty of Medicine, Department of Cardiology, Istanbul University Cerrahpasa, Istanbul, Turkey

4Memorial Hospital, Department of Cardiology, Ankara, Turkey

5School of Medicine, Department of Urology, Istinye University, Istanbul, Turkey

6School of Medicine, Department of Cardiology, Koc University, Istanbul, Turkey

DOI: 10.15586/jomh.v16iSP1.184 Vol.16,Issue SP1,April 2020 pp.4-12

Published: 01 April 2020

*Corresponding Author(s): Ismail Ates E-mail:

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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; dipping; erectile dysfunction; masked hypertension

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Ismail Ates,Deniz Mutlu,Zeynettin Kaya,Sercan Okutucu,Mehmet Sarier,Mehmet Cilingiroglu. RELATIONSHIP BETWEEN MASKED ARTERIAL HYPERTENSION AND ERECTILE DYSFUNCTION. Journal of Men's Health. 2020. 16(SP1);4-12.


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