Association of Microalbuminuria with Recent Ischemic Stroke

Abstract

Introduction:  Microalbuminuria is considered as an indicator of increased mortality in diabetes mellitus, hypertension and myocardial infarction and is also attributed to increased cerebrovascular risk. The aim of this study was to evaluate microalbuminuria in patients of recent ischemic stroke and see if microalbuminuria is significantly associated with recent ischemic stroke.

Methods: From August 2015 to November 2015, all patients of first episode ischemic stroke presenting to Tribhuvan University Teaching Hospital emergency within 24 hours of onset of stroke suggestive symptoms were enrolled in this study. Non contrast CT scan head, random blood glucose, and urine spot microalbumin test was done in each case.

Results: Microalbuminuria was predominantly present in a total of 27 (79.4%) subjects, while absent in 7 (20.6%). Microalbuminuria was present in 77.0% of the non hypertensive cases and 85.71% of hypertensive cases. Microalbuminuria was present amongst 74.1% of non diabetics and in all the diabetics. Microalbuminuria was present in 78.6% of smokers and in 80% of non smokers. Microalbuminuria was present in 91.67% of cases with lacunar stroke and in 72.7% cases with territorial infarction.

Conclusions: There was no statistically significant association between microalbuminuria and ischemic stroke.