A STUDY ON ASSOCIATION OF MICROALBUMINURIA IN NON-DIABETIC AND NONHYPERTENSIVE PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 2
Abstract
BACKGROUND Microalbuminuria is an emerging risk factor in evaluation of inhospital coronary events and long-term morbidity and mortality in patients with acute myocardial infarction. The primary aim of this study is to determine the prognostic significance and the predictive value of microalbuminuria for complications in patients with non-diabetic, non-hypertensive acute myocardial infarction. MATERIALS AND METHODS A cross sectional study was done on 100 non-diabetic, non-hypertensive patients admitted for acute myocardial infarction. Spot urine sample was taken for measuring albumin creatinine ratio. Patients were followed up and observed for complications related to acute myocardial infarction like left ventricular dysfunction, cardiac failure, LV clot, recurrence of angina, occurrence of arrhythmias and death for a period of one year. RESULTS Among the 100 patients included in the study group 71% had microalbuminuria while 29% were normoalbuminuric. The difference was statistically significant, and it shows that there is definite association between acute myocardial infarction and microalbuminuria. Post myocardial infarction complications were also higher in the group with microalbuminuria indicating its efficacy as a prognostic marker in patients with acute myocardial infarction. CONCLUSION Microalbuminuria is a marker of endothelial dysfunction and its level rises in patients with acute myocardial infarction by various mechanisms, most prominent being as a part of systemic inflammatory response.
Authors and Affiliations
Peer Mohamed, Tharun Lorenz, Bagialakshmi Gopal
A STUDY TO EVALUATE THE PREVALENCE OF OCULAR MORBIDITY OF SCHOOL GOING CHILDREN (6-16 YEARS) IN DURGAPUR, WEST BENGAL
BACKGROUND School eye screening children is useful in detecting correctable causes of defective vision, especially refractive errors (myopia) and minimizing long-term visual disability. Ocular disorders such as refractiv...
CLINICAL STUDY AND MANAGEMENT OF INTRACAPSULAR FRACTURE NECK OF FEMUR BY HEMIARTHROPLASTY, A COMPARATIVE STUDY BETWEEN AUSTINMOORE & BIPOLAR PROSTHESIS
AIMS AND OBJECTIVES: To study the age and sex incidence, morbidity and mortality and the associated complications of fracture neck of femur treated by hemiarthroplasty. To evaluate the efficiency and functional outcome b...
A RARE CASE OF THIAZIDE-INDUCED BENIGN GYNAECOMASTIA
BACKGROUND Gynaecomastia is a common disorder of the endocrine system in which there is a noncancerous enlargement of the male breast. The incidence of drug-induced gynaecomastia is about 4-10%. One among them are the th...
SPECTRUM OF LESIONS IN HYSTERECTOMY SPECIMENS- A ONE YEAR RETROSPECTIVE STUDY
BACKGROUND Hysterectomy is the most commonly performed gynaecological surgery throughout the world. The prevalence varies from country to country, region to region. This study was conducted to identify the most common pa...
POLYPOIDAL MASSES IN NOSE: A CLINICO-PATHOLOGICAL CORRELATION STUDY
INTRODUCTION: A polypoidal mass in the nasal cavity is a condition commonly encountered by the Otorhinolaryngologist. A diverse group of lesions may present themselves as polypoidal masses. A number of benign looking pol...