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Microalbuminuria: association with ischaemic heart disease in non-diabetics
Rizwan Hashim1, Shazia Nisar, Khalil ur Rehman
1Department of Pathology, Combined Military Hospital, Lahore.
Insights
Microalbuminuria (MA) is common in non-diabetic patients with ischemic heart disease (IHD). This study found MA in 37% of patients, with higher levels observed in older individuals.
Area of Science:
- Cardiology
- Nephrology
- Internal Medicine
Background:
- Ischemic heart disease (IHD) poses significant morbidity and mortality risks.
- Assessing individual cardiovascular risk beyond traditional factors like hypertension and hypercholesterolemia is crucial for effective prevention and treatment.
- Microalbuminuria (MA) is being investigated as a potential marker for IHD in non-diabetic individuals.
Purpose of the Study:
- To determine the frequency of microalbuminuria (MA) in non-diabetic patients diagnosed with ischemic heart disease (IHD).
- To investigate the association between MA and age in this patient cohort.
Main Methods:
- A descriptive study was conducted on 100 consecutive non-diabetic patients with IHD.
- Patients with clinical albuminuria or other causes of proteinuria were excluded.
- Urinary albumin was quantified using immunoturbidimetry, and the albumin-to-creatinine ratio (ACR) was calculated.
Main Results:
- Microalbuminuria (ACR >30 mg/g) was detected in 37% of the non-diabetic IHD patients.
- The frequency of MA was highest in older age groups for both males and females.
- A significant difference in mean MA levels was observed across different age groups.
Conclusions:
- Microalbuminuria is a prevalent finding in non-diabetic patients suffering from ischemic heart disease.
- Older age is associated with higher mean levels of microalbuminuria in this population.
- MA may serve as a valuable indicator for cardiovascular risk assessment in non-diabetic IHD patients.
Background:
In view of the high morbidity and mortality associated with ischemic heart disease (IHD), the estimation of individual cardiovascular risk over and above the assessment of classic risk factors, such as age, hypercholesterolemia and hypertension, is an important prerequisite for focusing preventive measures and therapeutic measures. Microalbuminuria (MA) as a marker of IHD in nondiabetics is currently under international debate. The present descriptive study undertaken at Combined Military Hospital, Lahore was aimed to determine the frequency of MA in nondiabetic IHD patients.
Methods:
One hundred consecutive non diabetic patients with IHD (73 males, 27 females). Patients showing clinical albumiuria and with other causes of proteinuria were excluded. Urinary albumin in first morning sample was estimated by immunoturbidimetry method. Albumin to creatinine ratio (ACR) was calculated as mg/g.
Results:
The frequency of MA (ACR >30 mg/g) was 37% in patients. Frequency was highest in older age bracket for both genders. The mean ACR was 131.8 +/- 66.2 mg/g. Significant difference was observed in mean MA level among different age groups.
Conclusion:
MA is common in nondiabetics patients with IHD. The mean level of MA was higher in older patients.
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