Microalbuminuria and Its Relation with "Cardiovascular" Risk Faktors in Patients with Hypertension, with and Without Diabetes.

Introduction .Patients with diabetes and hypertension are at an increased risk of macrovascular and microvascular complications. The objective of the present cross-sectional study was to determine the prevalence of microalbuminuria and its relation with other cardiovascular risk factors among hypertensive patients, with and without type 2 diabetes. Material and Methods . The study group comprised of 200 hypertensive patients, 100 of which, also have type 2 diabetes. Each groupwas evaluated for left ventricular mass index (LVMI),microalbuminuria, body mass index (BMI), waist circumference, lipid profile, intimae media thickness (IMT) and  blood pressure. Results .The prevalence of microalbuminuria in patients with HTA was 14%, otherwise in patients with HTA ＆ DM was 44%. There was a significant positive association between microalbuminuria and LVMI (r = 0.21, P = 0.003); microalbuminuria and IMT (r=0.22; P= 0.01); microalbuminuria and serum uric acid level (P=0.034, r=0.15). Was seen a strong relation of microalbuminuria and abdominal obesity (P=0.009) Conclusions . Prevalence of microalbuminuria in diabetic hypertensive patients was high. There was a positive relation of microalbuminuria and left ventricular hypertrophy, IMT, uric acid levels and abdominal obesity. So, microalbuminuria is not only a predictor for renal failure but it’salso a potent cardiovascular risk factors.