Prevalence of Microalbuminuria in Non-diabetic Hypertensive Patients and its Correlation with Changes in Left Ventricular and Left Atrial Characteristics

dc.contributor.authorBhusal, Khema Raj
dc.contributor.authorDevkota, Surya
dc.contributor.authorPathak, Surya
dc.contributor.authorKhanal, Pratik
dc.contributor.authorKhanal, Umesh
dc.contributor.authorThapalia, Poojan
dc.contributor.authorNeupane, Srijana
dc.contributor.authorGyanwali, Pradip
dc.contributor.authorSimkhada, Rabindra
dc.contributor.authorOli, Krishna Kumar
dc.date.accessioned2024-03-24T05:22:27Z
dc.date.available2024-03-24T05:22:27Z
dc.date.issued2022
dc.descriptionOriginal Articleen_US
dc.description.abstractAbstract Background: Microalbuminuria is urinary albumin excretion in the range of 30-300 mg per 24 hours and is considered as an abnormal albumin excretion rate. Microalbuminuria is associated with epithelial dysfunction and have a high risk for target organ damage resulting in stroke, retinopathy and adverse cardiovascular events. The objective of the study was to determine the prevalence of microalbuminuria in non-diabetic hypertensive patients and its correlation with cardiovascular changes. Methods: A quantitative cross-sectional study was done in 107 participants diagnosed as non-diabetic hypertensive patients visiting to Manmohan Memorial medical college and Teaching hospital and Manmohan Cardio-thoracic Vascular and transplant Centre. The assessed parameters were basic metabolic profile, urine evaluation and Echocardiography. Results:The results showed microalbuminuria in 28 study participants and not seen in 79 participants. Similarly, microalbuminuria was observed more comparable in those with presence of left ventricular hypertrophy as compared to the absence of left ventricular hypertrophy (29.3% versus 22.8%) (p value 0.469); those with presence of left ventricular diastolic dysfunction as compared to the absence of left ventricular diastolic dysfunction (31.1% versus 19%) (p value 0.170) and those with dilated left atrium as compared to normal left atrium (26.7% versus 23.9%) (p value 0.820). In case of left ventricular ejection fraction, those with normal left ventricular ejection fraction (26.3%) had slightly higher proportion of micro-albuminuria than those with mild to moderate left ventricular systolic dysfunction (20%) (p value= 0.755) Conclusions: There was no significant difference in the level of micro-albuminuria between non-diabetics, hypertensive patients with cardio vascular changes compared to patients with no cardiovascular changes. Keywords: Hypertension; microalbuminuria; non-diabeticen_US
dc.identifier.citationBhusalK. R., DevkotaS., PathakS., KhanalP., KhanalU., ThapaliaP., NeupaneS., Gyanwali P., SimkhadaR., & OliK. K. (2023). Prevalence of Microalbuminuria in Non-diabetic Hypertensive Patients and its Correlation with Changes in Left Ventricular and Left Atrial Characteristics. Journal of Nepal Health Research Council, 20(4), 838-841. https://doi.org/10.33314/jnhrc.v20i4.3786en_US
dc.identifier.issnPrint ISSN: 1727-5482; Online ISSN: 1999-6217
dc.identifier.urihttps://hdl.handle.net/20.500.14572/54
dc.language.isoenen_US
dc.publisherGovernment of Nepal; Nepal Health Research Council; Ramshah Path, Kathmandu, Nepalen_US
dc.relation.ispartofseriesOct-Dec, 2022;3786
dc.subjectHypertensionen_US
dc.subjectMicroalbuminuriaen_US
dc.subjectNon-diabeticen_US
dc.titlePrevalence of Microalbuminuria in Non-diabetic Hypertensive Patients and its Correlation with Changes in Left Ventricular and Left Atrial Characteristicsen_US
dc.typeJournal Articleen_US

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