Document Detail


Urine albumin excretion, within normal range, reflects increasing prevalence of metabolic syndrome in patients with essential hypertension.
MedLine Citation:
PMID:  20695936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Microalbuminuria is a prognostic marker of cardiovascular disease and is related to metabolic syndrome (MetS). For this purpose, the authors examined the relationship of low grade albuminuria to MetS, using 4 current definitions and a MetS score. They studied 6650 consecutive, nondiabetic, hypertensive patients with normal microalbumin excretion. MetS was defined by Adult Treatment Panel III, American Heart Association, World Heart Organization, International Diabetes Federation criteria, and MetS Gruppo Italiano per lo Studio della Streptochinasi nell'Infarcto Miocardico (GISSI) score. Urine microalbumin concentration was measured after a 24-hour urine collection by immunonephelometry. By all definitions, hypertensive patients with MetS had higher microalbumin levels. Significantly higher microalbumin levels were observed as the number of metabolic components rose. After adjustment for systolic blood pressure, the strength of this association was reduced to a nonsignificant level. Microalbumin levels, within normal range, are increased in patients with MetS, irrespective of the definition criteria.
Authors:
Gregory Vyssoulis; Eva Karpanou; Pangiotis Spanos; Stella-Maria Kyvelou; Dionysios Adamopoulos; Christodoulos Stefanadis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  12     ISSN:  1751-7176     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  597-602     Citation Subset:  IM    
Affiliation:
Hypertension Unit, 1st Cardiology Clinic, Athens University, Hippokration Hospital, V. Sofias 108 Avenue, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Albuminuria / diagnosis*,  urine*
Cardiovascular Diseases / epidemiology
Cohort Studies
Female
Humans
Hypertension / complications*,  urine
Male
Metabolic Syndrome X / epidemiology*,  urine
Middle Aged
Prevalence
Reference Values
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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