Journals / International Archives of Medical Research / 2013 / Cilt: 5 - Sayı: 1

Does Microalbuminuria has Positive Predictive Value in Patients With Essential Hypertension for Renovascular Hypertension?

Pages
16–23
Publication Date
2013-06-01
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We suggest that microalbuminuria isn’t an indicator for renovascular hypertension in patients with essential hypertension.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: Renovascular disease is an important correctable cause of secondary hypertension.
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Key Findings & Data:Method: 330 essential hypertensive patients were enrolled to the study.
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Conclusion & Impact:Conclusion: We suggest that microalbuminuria isn’t an indicator for renovascular hypertension in patients with essential hypertension.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Renovascular hypertension · essential hypertension · microalbuminuria

Abstract

Background: Renovascular disease is an important correctable cause of secondary hypertension. We aimed to research whether microalbuminuria might be an indicator for renovascular hypertension among the essential hypertensive patients. Method: 330 essential hypertensive patients were enrolled to the study. Patients were divided into 2 groups: group 1 (microalbuminuria) and group 2 (normoalbuminuria). Urine albumin concentrations were measured by nepholometry after 24-hour urine collection. All subjects were examined by renal duplex doppler ultrasonography and who had renal artery stenosis then MR angiography was performed. Results: Microalbuminuria was detected in 107 of 330 essential hypertensive patients (32.42%). Mean CrCl levels (108,14±19,83 vs 116,36±18,62, p=0,002) were significantly lower in the group of patients with microalbuminuria. 3/107 (2.80%) of the patients had renal artery stenosis in the group of patients with microalbuminuria and 8/223 (3.58%) of the patients had renal artery stenosis in the group of patients with normoalbuminuria. This study showed a sensitivity of 2.8%, specificity 96.41%, positive predictive value 27.27%, negative predictive value 67.40%. Conclusion: We suggest that microalbuminuria isn’t an indicator for renovascular hypertension in patients with essential hypertension.

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Cite This Article

YILMAZ, Z., ORUÇ, İ., YILDIRIM, Y., AYDIN, F. Y., AYDIN, E., KADİROGLU, A. K., YILMAZ, M. E. (2013). Does Microalbuminuria has Positive Predictive Value in Patients With Essential Hypertension for Renovascular Hypertension?. International Archives of Medical Research, Cilt: 5 - Sayı: 1, 16–23. https://ajindex.com/articles/764823

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