A study of prevalence of microalbuminuria in non-diabetic non-hypertensive coronary artery disease

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dc.contributor.authorShanmugasundram, Namashivayamen_US
dc.contributor.authorPonnusamy, Rajaen_US
dc.date.accessioned2019-12-02T10:10:18Z
dc.date.available2019-12-02T10:10:18Z
dc.date.issued2019
dc.description.abstractBackground: Microalbuminuria is a marker of widespread vascular damage in diabetic as well as non-diabetic patients. However, more and more evidence is accumulating that microalbuminuria is an important cardiovascular risk factor even in the general population. Its early detection helps in preventing the progression of cardiac decompensation. Aggressive treatment of microalbuminuria is associated with improved renal and cardiac functions. Aim of the study: To find out the prevalence of microalbuminuria in non-diabetic and nonhypertensive patients with coronary artery disease. Materials and methods: Prospective nonrandomized case series was done in the Department of General Medicine, GAAMCH, Karapettai, Kanchipuram in the year 2017. In this 50 non-diabetic and non-hypertensive CAD patients were selected from those admitted in General Medicine ward. Data collection was by clinical history, examination and investigations such as blood investigations- fasting blood sugar, blood urea, serum creatinine, serum electrolytes, fasting lipid profile, urine albumin, and deposits, chest X-ray PA view, ECG, Echo were done and reports were analyzed thoroughly. Results: Among the males, 94.3% were smokers and 5.7% were non-smokers. 100% of women were non-smokers. There were 12 patients with abnormal total cholesterol, out of which 10 patients (83.33%) had microalbuminuria and out of 38 patients (73.68%) with normal total cholesterol, 28 had microalbuminuria. The observation showed that there was no significant association between total cholesterol and microalbuminuria (P>0.05). Namashivayam Shanmugasundram, Raja Ponnusamy. A study of prevalence of microalbuminuria in non-diabetic nonhypertensive coronary artery disease. IAIM, 2019; 6(4): 31-35. Page 32 Conclusion: Among the 50 non-diabetic non-hypertensive CAD patients, 38 patients (76%) had microalbuminuria. Microalbuminuria is positively associated with the ischemic heart disease in nondiabetic non-hypertensive CAD patients and can be regarded as an additional risk factor for ischemic heart disease. Hence screening for microalbuminuria is a worthwhile public tool for cardiac risk stratification and targeting preventive strategies.en_US
dc.identifier.affiliationsAssistant Professor, Department of General Medicine, GAAMCH, Karapettai, Kanchipuram, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of General Medicine, Government Royapettah Hospital, Chennai, Tamil Nadu, India, ponraja1977@gmail.comen_US
dc.identifier.citationShanmugasundram Namashivayam, Ponnusamy Raja . A study of prevalence of microalbuminuria in non-diabetic non-hypertensive coronary artery disease. International Archives of Integrated Medicine. 2019 Apr; 6(4): 31-35en_US
dc.identifier.issn2394-0026
dc.identifier.issn2394-0034
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/187160
dc.languageenen_US
dc.publisherEducational Society for Excellenceen_US
dc.relation.issuenumber4en_US
dc.relation.volume6en_US
dc.subjectCAD- Coronary artery diseaseen_US
dc.subjectTGL- Triglyceridesen_US
dc.subjectHDL-High density lipoproteinen_US
dc.subjectSmokingen_US
dc.subjectMicroalbuminuriaen_US
dc.titleA study of prevalence of microalbuminuria in non-diabetic non-hypertensive coronary artery diseaseen_US
dc.typeJournal Articleen_US
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