A STUDY ON “CORRELATION BETWEEN MICROALBUMINURIA AND ACUTE ISCHAEMIC STROKE IN NON�DIABETIC PATIENTS AND ITS PROGNOSTIC SIGNIFICANCE IN STROKE PATIENTS”

Dr. V. Shiva Prasad; Dr. P.V. Rajasekar

Volume : VII, Issue : I, January - 2017

A STUDY ON “CORRELATION BETWEEN MICROALBUMINURIA AND ACUTE ISCHAEMIC STROKE IN NON�DIABETIC PATIENTS AND ITS PROGNOSTIC SIGNIFICANCE IN STROKE PATIENTS”

Dr. V. Shiva Prasad, Dr. P. V. Rajasekar

Abstract :

BACKGROUND: Cereovascular Disease” or “Stroke” is one of the leading causes of mortality and morbidity in adults worldwide. Microalbuminuriahas been associated with clinical risk factors for stroke like diabetes, hypertension, aging,history of myocardial infarction, obesity, smoking and left ventricular hypertrophy.

AIMS AND OBJECTIVES: To estimate the presence of microalbuminuria in non diabetic recent ischemic stroke patients and to evaluate the prognostic significance of microalbuminuria in these non–diabetic recent ischaemic stroke patients.

METHODOLOGY:100 patients and 100 controls with clinical diagnosis of acute ischaemic stroke confirmed by CT Scan ain were enrolled in the study.The albumin excretion rate was assessed using Micral test on early morning urine sample and expressed as –mg/L.

RESULTS : In patients with recent ischemic stroke, 47 pts (47%) had microalbuminuria while among controls only 10 patients (10%) had microalbuminuria. Hence patients with recent ischemic stroke were 4.7 times more likely to have microalbuminuria with p=0.027 which is significant.

CONCLUSION :In the present study, measurement of microalbuminuria was also found to be reliable predictor of stroke outcome 6 weeks after stroke.