Association Between Morning Blood Pressure Surge and Microalbuminuria in Normotensive Type 2 Diabetic Patients.

Document Type : Original Article

Authors

1 Cardiology department, zagazig university, zagazig, Sharkia, Egypt

2 Cardiology department, zagazig university, zagazig, Egypt.

3 Cardiology department, zagazig university, zagazig, Egypt

Abstract

Abstract
Background: The slight fluctuations in blood pressure (BP) regulation even without advancing to abnormal values appear to be related to more accelerated cardiovascular complications in patients with type 2 diabetes mellitus (T2DM). Morning blood pressure surge (MBPS) has been increasingly reported to provide a significant predictor of cardiovascular disease (CVD) risk.
Aim: To study the whether MBPS is associated with increased levels of microalbuminuria in normotensive T2DM patients.
Patients and methods: Normotensive T2DM patients were subjected to ambulatory blood pressure monitoring (ABPM) and urine spot sampling to assess urine albumin creatinine ratio (UACR).
Results: 32% of patients had microalbuminuria with a highly significant moderate positive correlation between UACR with DM duration, MBPS and average 2-hours systolic blood pressure (SBP) with (r = 0.342) p-value

Keywords

Zagazig University Medical Journal
Volume 26, Issue 3
Pediatrics,Cardiology,Internal Medicine,Community Medicine,Chest,Rheumatology,Dermatology&Psychiatry
May 2020
Pages 442-449

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