Related Experiment Video
Updated: Jan 21, 2026

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Low-Grade Albuminuria Is Associated with Left Ventricular Hypertrophy and Diastolic Dysfunction in Patients with
Tingjun Wang1, Hongbin Zhong1, Guili Lian1
1Fujian Hypertension Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Insights
Low-grade albuminuria, even within normal levels, is linked to heart damage in hypertensive patients. This association is particularly notable in younger individuals and those with shorter hypertension duration.
Area of Science:
- Cardiology
- Nephrology
- Hypertension Research
Background:
- Microalbuminuria is a known cardiovascular risk factor in hypertension.
- The link between low-grade albuminuria and hypertension-related organ damage remains unclear.
- Left ventricular hypertrophy (LVH) and diastolic dysfunction are key indicators of hypertensive heart disease.
Purpose of the Study:
- To investigate the association between low-grade albuminuria and left ventricular hypertrophy (LVH).
- To examine the relationship between low-grade albuminuria and left ventricular diastolic dysfunction in hypertensive patients.
Main Methods:
- A cross-sectional study of 870 hypertensive patients.
- Albuminuria assessed using urinary albumin to creatinine ratio (UACR).
- Low-grade albuminuria defined as the highest tertile within normal UACR levels.
Main Results:
- Low-grade albuminuria was independently associated with LVH and LV diastolic dysfunction.
- Patients with the highest tertile of normal albuminuria showed increased odds of LVH and diastolic dysfunction.
- The association persisted in specific subgroups, including females and those younger than 70.
Conclusions:
- Low-grade albuminuria is associated with cardiac structural and functional changes in hypertensive patients.
- This association is significant even at albuminuria levels below the microalbuminuria threshold.
- Early detection and management of low-grade albuminuria may be crucial for preventing cardiovascular complications in hypertension.
Introduction:
Microalbuminuria is a risk factor for cardiovascular morbidity and mortality in hypertensive patients. However, the relationship between low-grade albuminuria, a higher level of albuminuria below microalbuminuria threshold, and hypertension-related organ damage is unclear. Left ventricular (LV) hypertrophy (LVH) is well recognized to be a subclinical organ damage of hypertension, and LV diastolic dysfunction is also reported to be an early functional cardiac change of hypertension that predicts heart failure. The present study aimed to investigate the association of low-grade albuminuria with LVH and LV diastolic dysfunction in hypertensive patients.
Methods:
This cross-sectional observational clinical study was retrospectively performed in 870 hypertensive patients admitted to our hospital. Urinary albumin to creatinine ratio (UACR) was calculated to assess the levels of albuminuria: macroalbuminuria (≥300 mg/g), microalbuminuria (≥30 mg/g, but <300 mg/g), and normal albuminuria (<30 mg/g). Low-grade albuminuria was defined as sex-specific highest tertile within normal albuminuria (8.1-29.6 mg/g in males and 11.8-28.9 mg/g in females). LVH and LV diastolic dysfunction were identified as recommended by American Society of Echocardiography.
Results:
Of the 870 patients, 765 (87.9%) had normal albuminuria, 77 (8.9%) had microalbuminuria, and 28 (3.2%) had macroalbuminuria. Percentage of LVH and LV diastolic dysfunction was increased with ascending UACR. UACR was independently associated with LVH and LV diastolic dysfunction, even in patients with normal albuminuria. Multivariable logistic regression showed that the patients with the highest tertile within normal albuminuria had nearly 80% increase in LVH and nearly 60% increase in LV diastolic dysfunction (adjusted OR for LVH 1.788, 95% CI 1.181-2.708, p = 0.006; adjusted OR for LV diastolic dysfunction 1.567, 95% CI 1.036-2.397, p = 0.034). After further stratification analyses in patients with normal albuminuria, it was shown that this independent association persisted in female patients, those who were younger than 70 years old, and those with duration of hypertension <15 years.
Conclusion:
Low-grade albuminuria was associated with LVH and LV diastolic dysfunction in hypertensive patients, especially in patients younger than 70 years old, and those with duration of hypertension <15 years.
Related Concept Videos
Graded Potential
Graded potentials fall into two categories: depolarizing and hyperpolarizing. Depolarizing graded potentials typically occur when sodium (Na+) or...
Types of Aggregate Grading
Well-graded aggregates include a complete range of necessary size fractions that fit together to create a dense matrix with minimal voids, represented by a smooth, continuous gradation curve. This type of grading ensures good...
Hypertension I: Introduction
Hypertension II: Pathophysiology
Hypertension V: Nursing Management
Sieve Analysis and Grading Curves

