Resumen
Introduction: It known that the presence of microalbuminuria can reflect the development of cardiovascular disease in patients with or without diabetes. Objective: To determine the prevalence of microalbuminuria in hypertensive non diabetic patients treated in the outpatient clinic for hypertension in Hospital General San Juan de Dios. Methods: Measure of microalbuminuria using the Micral-Test® reactive urine strip in 86 patients with 1 to 10 years of being diagnosed with essential hypertension. Results: Total prevalence of microalbuminuria was 81%. CHF had statistical difference between the group of patients with and without microalbuminuria with 99% of significance (p 0.03). There was not statistical difference between the group of patients with and without microalbuminuria in the rest of the variables studied.
Citas
European Society of Hypertension-European Society of Cardiology Guidelines Committee. 2003 European Society of Hypertension - European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 2003; 21: 1011-1053.
Wright JD, Hughes JP, Ostchega Y, et al. Mean systolic and diastolic blood pressure in adults aged 18 and over in the United States, 2001-2008. Natl Health Stat Report 2011.
Erhan Tenekecioglu1, Mustafa Yilmaz1, Osman Can Yontar1, Kemal Karaagacl. Microalbuminuria in untreated prehypertension and hypertension without diabetes. Int J Clin Exp Med 2014;7 (10):3420-3429.
Coresh J, Wei GL, McQuillan G, et al. Prevalence of high blood pressure and elevated serum creatinine level in the United States: findings from the third National Health and Nutrition Examination Survey (1988-1994), Arch Intern Med 2001; 161:1207.
Romundstad S, Holmen J, Kvenild K, et al. Microalbuminuria and all-cause mortality in 2,089 apparently healthy individuals: a 4.4-year follow-up study. The Nord-Trondelag Health Study (HUNT). Norway. Am J Kidney Dis 2003; 42:466.
KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Chapter 1: Definition and classification of CKD. Kidney Int Suppl 2013; 3:19.
Comper WD, Osicka TM. Detection of urinary albumin. Adv Chronic Kidney Dis 2005; 12:170.
Stehouwer CD, Nauta JJ, eldenrust GC, et al. Urinary albumin excretion, cardiovascular disease, and endothelial dysfunction in non-insulin-dependent diabetes. Lancet 1986; 2:1300.
Kidney Disiease Outcomes Quality Initiative (K/DOQY). K/DOQY clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. Am J Kidney Dis 2004; 43:51.
Aguirre B. Prevalencia de microalbuminuria en una población hipertensa de Navarra septentrional y su relación con otros factores de riesgo cardiovascular. An. Sist. Sanit. Navar 2004; 27 (1): 27-36.
Marques P, Carvalho D, Nazaré J, et al. Prevalencia da microalbuminuria em doentes hipertensos e/ou diabéticos tipo 2 nós cuidados de sáude primários em Portugal: estudio RACE (micRoAlbumin sCreening survEy). Revista Portuguesa de Cardiología. 2015; 237:240.
Castaño JJ, Andrés J, Duque L, et al. La microalbuminuria como factor pronóstico en un grupo de pacientes hipertensos de una entidad de primer nivel en Manizales (Colombia) 2010. Revista Científica Salud Uninorte, Vol 28, No, 1 enero-abril 2012.
Mogensen, C. E., Viberti, G. C., Peheim, E., Kutter, D., Hasslacher, C., Hofmann, W., Willamowski,
K. D. Multicenter evaluation of the Micral-Test II test strip, an immunologic rapid test for the detection of microalbuminuria. Diabetes Care. 1997; 20(11), 1642:1646.
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