Evaluation of microalbuminuria in non-diabetic and non-hypertensive patients with acute myocardial infarction

Microalbuminuria is defined as the excretion of 30to 300mg of albumin per day in urine. It is frequently present and a known cardiovascular risk indicator in diabetic populations, in hypertensive and general populations. Elevation of microalbuminuria level is emerging as risk factors in myocardial infarction.

To explicit the relationship between microalbuminuria and acute myocardial infarction as prognostic indicator of cardiovascular morbidity and mortality.

A cross sectional hospital based study.

120 non-diabetic and non-hypertensive patients of acute myocardial infarction, after taking the consents.

August 2012 to November 2014

Intensive Care Unit, Gujarat Medical Education and Research Society College, Civil hospital, Valsad, Gujarat.

Microalbuminuria was determined by immunoturbidimeteric method. Serum glucose and Serum creatinine were measured by GOD-POD end point &Modified Jaffe's method respectively.

120 patients of myocardial infarction with a mean age of 51.32 ± 11.25years with range of 30 to 70 years. In majority 79 (65.8%) of the cases found with microalbuminuria while 41(34.2%) with normal buminuria 79 (65.8%) cases in which presence of microalbuminuria was found and the association between microalbuminuria & mortality in patients with MI shows that, those were died i.e. 33 (27.5%) in which microalbuminuria was present in around 20 (60%) cases.

Association between microalbuminuria and myocardial infarction suggests that microalbuminuria has additional value as a prognostic marker in absence of risk factors like Diabetes and Hypertension.