RELATIONSHIP BETWEEN MICROALBUMINURIA AND SUBCLINICAL CARDIAC STRUCTURAL CHANGES IN ISOLATED SYSTOLIC HYPERTENSION IN ELDERLY PATIENTS
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Isolated systolic hypertension is common in elderly people and accounts for more than 50% of all cases with hypertension above the age of 65 years. Microalburninuria represents an early marker of cardiac structural damage. The aim of this work: is to study the relathionship between micro alburnirturia and subclinical cardiac structural changes (septa( wall thickness (5W77, left ventricular mass (LVM) and left ventricular mass index (LVMI)) in isolated systolic hypertension in elderly patients. Result: showed significant positive correlation between microaLburnirturia and cardiac structural changes (LVMI - P = 0.001, SWT - P = 0.002 and LVM - P = 0.0001)-There was a significant positive con-elation between the duration of hypertension and microalbuminuria, LVM (P=0.02) and LVH (P=0.001). Also,there was a significant positive correlation between age of patients and LVM (P = 0.01) and LVH (P = 0.01). Conclusion: Taken together this study showed that microalbwninuria represents art early marker of crthor structural changes in isolated systolic hypertension in elderly patients. It is considered one of the new associated risk factors of hypertension. Cardiovascular prognosis depends not only on the blood pressure level but also on hte presence of target organ dam- b) Dipstick for microalbuminuria: For rapid detection of microalbuminuria by using an Accu- Check- Product-MICRAL-Test.