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The association between risk factors for ischemic stroke and microalbuminuria
Samart Nidhinandana1, Napasri Chaisinanunkul
1Department of Psychiatry and Neurology, College of Medicine, Phramongkutklao Hospital, Bangkok, Thailand. msani@pmk.ac.th
Insights
Hypertension and diabetes mellitus significantly increase the risk of microalbuminuria, a marker associated with ischemic stroke. These findings highlight key risk factors for stroke prevention and management.
Area of Science:
- Nephrology
- Neurology
- Cardiology
Background:
- Microalbuminuria is an early indicator of kidney damage.
- It is also associated with increased cardiovascular risk, including ischemic stroke.
- Understanding the link between stroke risk factors and microalbuminuria is crucial for prevention.
Purpose of the Study:
- To investigate the relationship between common ischemic stroke risk factors and the presence of microalbuminuria.
- To identify which specific risk factors are most strongly associated with microalbuminuria.
Main Methods:
- A cohort of 173 patients over 25 years old with at least two stroke risk factors was studied.
- Data collected included questionnaires, blood pressure, microalbuminuria levels, height, and weight.
- Participants received health education.
Main Results:
- Hypertension (80.3%) and dyslipidemia (56.6%) were the most common risk factors.
- Hypertensive patients had a 5-fold increased risk of microalbuminuria (p < 0.05).
- Diabetic patients showed a 27.1-fold increased risk of microalbuminuria (p < 0.01).
- Dyslipidemia showed a trend towards increased microalbuminuria risk, but it was not statistically significant (p > 0.05).
Conclusions:
- Diabetes mellitus and hypertension are significant risk factors associated with microalbuminuria in patients at risk for ischemic stroke.
- These findings underscore the importance of managing hypertension and diabetes to reduce stroke risk.
Objective:
To determine the relationship between the risk factors for ischemic stroke and microalbuminuria.
Material And Method:
We enrolled 173 patients older than 25 years who had at least two risk factors for stroke. The patients were assessed by questionnaire, blood pressure, microalbuminuria, height and weight measurement. The patients were given health education.
Results:
The common risk factors were hypertension (80.3%), dyslipidemia (56.6%), and multiple cerebral infarction (39.9%). The hypertensive patients had 5 times risk of microalbuminuria 5.0 compared to normotensive patients (95% CI, 1.13-21.90; p-value < 0.05). Among diabetes patients had risk of microalbuminuria 27.1 times compared to non-diabetic patients (95% CI, 9.58-76.82; p-value < 0.01). However, the patients who had dyslipidemia had risk of microalbuminuria 1.784 times of who did not, but no statistically significant (95% CI, 0.79-4.03; p-value > 0.05).
Conclusion:
Diabetes mellitus and hypertension are significantly risk factor of ischemic stroke related to microalbuminuria.
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