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[Nephropathy: an overview for daily practice]
D Pittrow1, H U Wittchen, P Bramlage
1Institut für Klin. Pharmakologie, BMBF Forschungsverbund Public Health Sachsen, Med. Fakultät Carl Gustav Carus, TU Dresden, Fiedlerstr. 27, D-01307 Dresden.
Abstract:
The examination of renal function in the daily practice may give important information on the risk status of a given patient. For example, the diagnosis of microalbuminuria carries high predictive value for a future cardiovascular risk of patients with hypertension, diabetes, congestive heart failure, as well as myocardial infarction. The findings of the Hypertension and Diabetes Screening and Awareness Study (HYDRA) indicate that screening for microalbuminuria is performed not often enough in patients with diabetes or hypertension, respectively, and a positive screening finding often does not trigger necessary consequences as for additional diagnosis or therapy.
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