A CLINICAL STUDY OF MICROALBUMINURIA IN NON-DIABETIC CORONARY ARTERY DISEASE PATIENTS IN AN INDUSTRIAL HOSPITAL.

Objective: The objective of our study was to study the prevalence of microalbuminuria in non-diabetic patients with Ischemic heart disease and to identify whether it can be used as an independent marker of Ischemic heart disease or as a screening test for ischemic heart disease in non- diabetic patients. Material and methods: This was a hospital based prospective study. All patients presenting with coronary artery disease to our hospital from May 2014 to Sep 2016 were be included. Total number of patients included in our study were 50 as most patients with IHD were diabetic as well and were excluded from the study. All these patients were subjected to detailed history and physical examination. All baseline investigations, ECG, Chest X-ray, lipid profile and urine for microalbumin by Turboux method were done on these patients. Results: - Total 50 patients were included in the study (39 males and 11 females). The mean age of the patients was 58.22 ? 10.15 years. Out of 50 patients, 30 (60%) had microalbuminuria. There were 24 males (61.5%) and 6 females (54.5%) with abnormal microalbuminuria levels. Most of the patients with microalbuminuria were in age range of 45-65years. There was statistically significant association of microalbuminuria with hypertension, LDL >100mg/dl and HDL<35 mg/dl whereas no association was seen between microalbuminuria and other risk factors of IHD. Conclusion: From our study we concluded that there is high prevalence of microalbuminuria in non-diabetic ischemic heart disease patients but the association between two is not statistically significant. At present microalbuminuria cannot be used as an independent marker of IHD nor can it be used as a screening tool for IHD in general population unless further prospective studies with large sample size and comparative analysis against normal controls are done in future.