Title: An Observational Study on Microalbuminuria in Non Diabetic Acute Ischemic Stroke Patients

Authors: Dr S.Gopikumar, Dr A. Elayaraja, Prof. Dr K.Baburaj, Prof. Dr M. Senthilvelan

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.112

Abstract

  

Aims and Objectives: Aims and objectives of the present study were to; To assess the magnitude of Microalbuminuria in Non Diabetic acute ischemic stroke patients. The relationship between the presence of Microalbuminuria and clinical features noted in the acute ischemic stroke period. The importance of Microalbuminuria as an independent prognostic predictor in Acute ischemic stroke patient based on Scandinavian Stroke Scale.

Methods: The study was performed on patients admitted for non-diabetic acute ischemic stroke in Rajah Muthiah Medical College and Hospital under the Division of General Medicine from October 2017 to September 2019. After satisfying the inclusion and exclusion criteria 50 patients were included in this study. Their 24hrs urine microalbuminuria on the day of admission was measured. The relationship between 24hrs urine microalbuminuria, Scandinavian Stroke Scale and non-diabetic acute ischemic stroke was observed.

Results: There was significant correlation between 24hrs urine microalbuminuria, Scandinavian Stroke Scale and non-diabetic acute ischemic stroke.

Conclusion: Microalbuminuria was present in 54% acute ischemic stroke patients studied. Urine albumin excretion had the strongest correlation with the Scandinavian Stoke Scale of the patient in Acute Ischemic Stroke. Those with a lower Scandinavian Stroke Scale had a higher rate of urine albumin excretion and vice versa. Acute ischemic stroke patient with Microalbuminuria were significantly older than Normalbuminurics but there was no significant graded correlation of Age with urine albumin excretion in inter-group and intra–group studies. There was no significant difference in Blood Pressure in Microalbuminurics and Normalbuminurics. There was no significant correlation of Blood Pressure with Urine Albumin Excretion in acute ischemic stroke.

Keywords: Microalbuminuria, Non Diabetic acute ischemic stroke, Scandinavian  Stroke  Scale. 

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Corresponding Author

Dr S.Gopikumar

Post Graduate, Department of General Medicine, Rajah Muthiah Medical College & Hospital, Annamalai University, Chidambaram, India – 608002