Is microalbuminuria a predictor of cardiovascular and renal events in essential hypertension (EH)?
ASN 30th Annual Meeting, San Antonio
J Am Soc Nephrol (Oct) 8:313A 1997
This was a retrospective look at 141 patients with essential hypertension. 54 patients had microalbuminuria (MA) and 87 did not. After a follow up period of 7 years, 12/54 with MA vs. 2/87 without MA had adverse cardiovascular events. The Cr clearance decreased by 12.7 ml/min in the group with MA versus 7.1 ml/min in the group without.
Comment: Although it is clear that microalbuminuria is a risk factor for cardiovascular disease, in this study the patient cohort with the microalbuminuria also had a higher incidence of risk factors associated with CV disease such as smoking, higher cholesterol and triglycerides, and a higher weight, all of which may have had some confounding effect on the findings. (John Ball, M.D., Illinois Masonic Hospital, Chicago, IL)
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ASN 30th Annual Meeting, San Antonio
H: Pathophysiology : Kidney in hypertension
H: Special problems : Outcomes