Sapporo Medical Journal

Abstract : Background: Microalbuminuria is associated with an increased risk of cardiovascular events and death and chronic kidney disease in patients with diabetes mellitus and hypertension. epidemiologic studies have found that microalbuminuria is predictive, independently of other risk factors, for all-cause and cardiovascular mortality and CVD events within groups of patients with diabetes or hypertension, and in the general population Aim of study This study was designed to determine Correlation of microalbuminuria and Multiple Risk Factors in Acute Coronary Syndrome. Patients and methods The present study was carried out during period Oct 2019 to Jan 2020 on patients presenting to AL-Nassiriya Heart center and AL-Hussein Teaching hospital . It was an observational comparison study in which comparison of two groups according to the presence and absence of microalbuminuria in patient diagnosed to have acute coronary syndrome after proper history, thorough clinical examination and investigations and find their correlation with multiple risk factors for acute coronary syndrome Results and Discussion Microalbuminuria in cases population was found to be in total 34 patients out of 55(61.81%);whereas in control population, 3 patients comprising of 14.81 On comparison of these two populations, the difference between occurrence of microalbuminuria was found to be stastically significant(x2 =11.7 and p value 1 In MA+ve cases ,there were 4 cases with DM,3 cases of hypertension ,6 smokers and 13 with multiple risk factors. In MA-ve cases there were 2 cases of DM ,1 case with hypertension and 6 smokers and only 2 with multiple risk factors. The difference between occurrence of microalbuminuria was significant in cases with multiple risk factors ). In the present study the difference in occurrence of microalbuminuria were significant (p < 0.05)in acute coronary syndrome with multiple risk factors than isolated factor which is similar to DIABHYCAR and HOPE study Conclusions: This observation implies that microalbuminuria is significantly more commonly seen in patients with acute coronary syndrome as compared to healthy adults of same biological characteristics. The difference between occurrence of microalbuminuria was significant in cases with multiple risk factors than any isolated single risk factor