Title: Importance of Microalbuminuria in Essential Hypertension
Authors: Dr N M Sampath Anil Kumar, Dr Satya Kumar K, Dr Krishna Mythili Sreeram, Dr Jami Suneel, Dr M Raja Sekhar Reddy
DOI: https://dx.doi.org/10.18535/jmscr/v9i1.11
Abstract
Background: Today, hypertension is the most critical public health problem. If left untreated, it increases coronary stroke events, heart failure, and renal failure1.Microalbuminuria in cases with established essential hypertension is a predictor of a higher risk of cardiovascular and renal dysfunction2. Early detection of microalbuminuria will help us to control the development of complications of hypertension with specific therapy for microalbuminuria.
Aims & Objectives: To determine the prevalence of microalbuminuria in patients with primary hypertension and to study the correlation of microalbuminuria with clinical profile and complications of primary hypertension.
Materials and Methods: The study was conducted in Maharajah's institute of Medical sciences (MIMS) Nellimarla, from March 2019 to February 2020, included 100 patients.
Conclusion: Microalbuminuria in essential hypertension does not show any correlation with the sex of the patient. As the severity of hypertension increases, the degree of microalbuminuria also increases. An increase in systolic blood pressure has a better correlation with microalbuminuria than diastolic blood pressure. All patients with essential hypertension and microalbuminuria had retinopathy which showed as higher is the microalbuminuria, severe is the grade of retinopathy.
Keywords: Hypertension, Microalbuminuria, Joint National Committee VIII, Left ventricular hypertrophy, Retinopathy.
References
- Maura Ravera, ElenaRatto, Simone Vettoretti, Francesca Viazzi, Giovanna Microalbuminuria and subclinical cerebrovascular damage in essential hypertension. J Nephrol 2002; 15: 519-524.
- R Ghai, NP Singh Verma, A Goel, MK Bhatnagar, Prerna Kapoor, A Vashista. Microalbuminuria in NIDDM and essential hypertension – a marker of severe disease. JAPI 1994.
- Aram V Chobanian, George L, Henry R, William C, Lee A, Joseph L., et al. Eight report of the Joint National Committee on prevention, detection. Evaluation and treatment of high blood pressure. JAMA 2014; 289(19).
- Bigazzi R, Binachi S, Campese V, Baldari G. Prevalence of Microalbuminuria in a large population of patients with mild to moderate essential hypertension. Nephron 1992; 61 : 94-97.
- Devereux RB, Reichek N. Echocardiographic determination of LV mass in man: anatomic validation of the method circulation 1977: 55: 613.
- Kumar D, Arora P, Singh G. GMC / GND the hospital Amritsar: Prevalence of proteinuria in mild to moderate essential hypertension, A study of 200 patients: Japivol 49, Jan 2001.