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. |
