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The Association Between Risk Factors for Ischemic Stroke and Microalbuminuria

Samart Nidhinandana MD*, Napasri Chaisinanunkul MD**

Affiliation : * Department of Psychiatry and Neurology, Phramongkutklao Hospital, Bangkok, Thailand ** Neurologic Division, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand

Objective : To determine the relationship between the risk factors for ischemic stroke and microalbuminuria. Material and Method: We enrolled 173 patients older than 25 years who had at least two risk factors for stroke. The patients were assessed by questionnaire, blood pressure, microalbuminuria, height and weight measurement. The patients were given health education.
Results : The common risk factors were hypertension (80.3%), dyslipidemia (56.6%), and multiple cerebral infarction (39.9%). The hyptertensive patients had 5 times risk of microalbuminuria 5.0 compared to normotensive patients (95% CI, 1.13-21.90; p-value < 0.05). Among diabetes patients had risk of microalbuminuria 27.1 times compared to non-diabetic patients (95% CI, 9.58-76.82; p-value < 0.01). However, the patients who had dyslipidemia had risk of microalbuminuria 1.784 times of who did not, but no statistically significant (95% CI, 0.79-4.03; p-value > 0.05).
Conclusion : Diabetes mellitus and hypertension are significantly risk factor of ischemic stroke related to microalbuminuria.

Keywords : Microalbuminuria, Risk factors, Stroke


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MEDICAL ASSOCIATION OF THAILAND
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