Title: Study of Microalbuminuria in patients with Hypertension
Authors: Dr Purva Bavikar, Dr Sayali Kusalkar, Dr Jaishree Ghanekar
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.126
Abstract
Background: The prevalence of Hypertension is 29.8% in India and is directly responsible for 57% of all stroke deaths and 24% of all coronary heart disease (CHD) deaths
Objective: This study focuses on prevalence of microalbuminuria in hypertension, its correlation with duration and severity of hypertension, and lastly whether microalbuminuria is a useful biomarker for predicting target organ damage.
Material & Methods: The study was conducted in MGM Medical College and Hospital Navi Mumbai for a period of 2 years between 2015 to 2017. Patients between 25 – 60 years of age, with at least 3 readings of increased blood pressures or known hypertension were studied extensively. Univariate analysis (chi square test) was used to determine the relationship between MA and other variables, and the results were expressed as p values.
Results: The overall prevalence of MA in the study was 49% of which 71% were males. 40.82% of patients with microalbuminuria were between 41 – 50 years of age. There was a strong correlation (p < 0.05) between severity of hypertension and MA as 57.74% patients of Stage-2 JNC-7 classification of hypertension had microalbuminuria.
Conclusions: The prevalence of Microalbuminuria, is about 49% among the patients with hypertension. The factors that are positively correlated with microalbuminuria, in the study, are, older age, severity of hypertension.
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