A study of microalbuminuria in newly detected hypertensive individuals in tertiary care centre
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Author:
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DR.S.S.KULKARNI, DR.U.T.MANE, DR.PUJARI BHUPAL, DR.RAHUL S.PATIL
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Abstract:
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Hypertension is a major public health problem all over the world. Target organ damage resulting from hypertension includes those affecting the brain, heart, kidneys and theeyes. A total of 100 newly detected hypertensive indoor patients were studied with a mean age of 60.34 years (SD ±11.43). 66 patients had microalbuminuria. 57% were males with mean age of 61.14. 28 patients were tobacco chewers. Majority 33 had normal BMI out of which 13 (39.39%) Out of 55 patients with favorable lipid profile 36 patients had microalbuminuria (65.45%).83 patients had Stage II HT of which 59 patients (71.08%) had microalbuminuria. 81 patients had at least one target organ damage(81%).36 patients had changes of hypertensive retinopathy, 64 patients had normal fundus. Of the 36 patients with fundus changes, 29 patients had microalbuminuria (80.56%), 7 patients did not have microalbuminuria (19.44%).16 patients had a normal CT scan(27.58%), LVH 48 patients (81.35%) had microalbuminuria. 45 patients had LV dysfunction out of which 26 had isolated diastolic dysfunction (57.78%), 14 had isolated systolic dysfunction(31.11%). CONCLUSION- Microalbuminuria is a major and modifiable risk factor and often co-exists with other major cardiovascular risk factors with a positivecorrelation. Prevalence of microalbuminuria increases with the age of the patient and the severity of hypertension atdiagnosis.
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Keyword:
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Hypertension, Tertiary Care Centre, Microalbuminuria.
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.071
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