Resumen

DIAZ ALONSO, Yudeynis Marisol et al. Microalbuminuria as a marker of cardiovascular risk in hypertensive patients. AMC [online]. 2016, vol.20, n.6, pp.619-627. ISSN 1025-0255.

Background: atherosclerosis is the main cause in the development of heart diseases. A big number of victims, generally healthy, present a deadly cardiovascular event and this is the first clinical manifestation that is detected in atherosclerosis. Microalbuminuria is known as being related to kidney damage in patients with type 1 and type 2 diabetes. It is a potential predictor of heart diseases and has become a marker of atherosclerosis in an early stage. Objective: to determine the utility of microalbuminuria as a marker of cardiovascular risk. Methods: an observational longitudinal study was conducted, from May 31st 2014, to April 30th 2015 to determine the utility of microalbuminuria in hypertensive patients without kidney vascular damage in health care center 2 of the clinic Tula Aguilera in Camagüey. The universe of study was composed of 66 hypertensive patients without kidney vascular damage, who met the inclusion and exclusion criteria, upon which the study is based. For the analysis and processing of the results descriptive statistics measures were used such as absolute numbers and percentage to describe the studied variables. Results: the presence of microalbuminuria prevailed in female sex and people over 60 years old. Among the risk factors, sedentarism followed by age over 65 were the most significant. From the analyzed biochemical parameters hipercolesterolemia was higher in number, microalbuminuria was positive with a larger percent in patients with associated heart diseases. Conclusions: it is considered that microalbuminuria is not only a marker of kidney damage but also an indicator of cardiovascular risk.

Palabras clave : CARDIOVASCULAR DISEASES; KIDNEY DISEASES; ALBUMINURIA [urine]; HYPERTENSION; OBSERVATIONAL STUDY.

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