Microalbuminuria: present concepts
Keywords:
microalbuminuria, diabetes mellitus, hypertensionAbstract
Microalbuminuria is defined as a urinary albumin excretion rate of 20-220mglmin. lt is easily measured using the Micral-test II. The prevalence of microalbuminuria is high in some diseases, and several studies have demonstrated that microalbuminuria is a morbidity and mortality predictive factor for essentially cardiovas cular and renal complications, in various diseases, such as hypertension diabetes mellitus (type J and type II) and even in healthy individuais.
The role of therapy is still contraversia and more studies are needed in order to show that a reduction in microalbuminuria has favourable implications to the natural history of disease. lt seems that ACE inhibitors are the most efficient pharmacological agents available to decrease microalbuminuria.
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