Microalbuminuria: A strong predictor of 3-year adverse prognosis in nondiabetic patients with acute myocardial infarction

Koulouris, Spyridon; Lekatsas, Ioannis; Karabinos, Ilias; Ioannidis, G.; Katostaras, Theofanis; Kranidis, Athanasios; Triantafillou, Konstantinos; Thalassinos, Nikolaos; Anthopoulos, Lambros

doi:10.1016/j.ahj.2004.07.031

Cited by 31 publications

(21 citation statements)

References 24 publications

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“…Our findings indicate that MA may be a predictor of poor outcome at discharge. Although the associations of MA with myocardial infarction, kidney disease, and metabolic syndrome are well described in the literature [7,8,9], there are limited data on the role and the prognostic value of MA in the acute phase of stroke. The association between MA and severity of neurological symptoms was first described by Slowik et al [5].…”

Section: Discussionmentioning

confidence: 99%

Microalbuminuria

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Microalbuminuria

et al. 2012

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“…Furthermore, this increased risk was largely confined to the group with higher level of MA (>100µg/mg) indicating that with higher MA, the inflammatory insult was greater resulting in more death 7,8 . Again a decline in the value of MA from D1 to D4/D7.…”

Section: Observationsmentioning

confidence: 99%

Significance of Micro Albuminuria as a Predictive Factor in Acute Myocardial Infection

Kumar¹,

Patil²,

Mubdi³

et al. 2014

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OBJECTIVES:A study was undertaken among 50 non-diabetic patients of acute myocardial infarction (AMI) admitted within 24hours of the onset of pain for investigation of the prevalence and significance of microalbuminuria (MA) as a predictor of in-hospital mortality and also to correlate it with other well-established prognostic markers. METHODOLOGY: Spot urinary albumin to creatinine ratio (ACR) was measured in first morning sample on day 1 (D1). Day 4 (D4) and /or day 7 (D7) homodynamic status was assessed in first clinical by killp's class and the ejection fraction was measured by echocardiography on D1 D4 and /or D7 total 7 days mortality was recorded. RESULTS: MA (>30µg/mg) was found in 95% of patients on D1 in the group with higher value of MA (>100µg/mg) on D1 there was significantly more deaths (p<0.01). Also there was significantly more death increasing or static MA value from D1 to D4/D7 (p<0.01). Increasing or static MA had a positive correlation with deteriorating killp's class in non-survivors, and also there was a correlation between decrease in left ventricular ejection fraction from D1 to D4/D7 and an increasing trend in MA over that period. CONCLUSION: MA was found to be a reliable predictor of short-term in -hospital mortality in AMI.

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“…MA also proved to be a marker of short-and long-term follow-up adverse events in patients with acute myocardial infarction (AMI) [9][10][11][12][13][14]. Finally, there is a broad evidence about the close correlation between the albumin to creatinine ratio (ACR) obtained from a spot urine sample with the MA collected in a 24 h period [15].…”

Section: Introductionmentioning

confidence: 99%

Single spot albumin to creatinine ratio: A simple marker of long-term prognosis in non-ST segment elevation acute coronary syndromes

et al. 2016

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Background: Microalbuminuria is a known risk factor for cardiovascular morbidity and mortality suggesting that it should be a marker of endothelial dysfunction. Albumin to creatinine ratio (ACR) is an available and rapid test for microalbuminuria determination, with a high correlation with the 24-h urine collection method. There is no prospective study that evaluates the prognostic value of ACR in patients with non ST-segment elevation acute coronary syndromes (NSTE-ACS). The purpose of our study was to detect the long-term prognostic value of ACR in patients with NSTE-ACS. Methods: Albumin to creatinine ratio was estimated in 700 patients with NSTE-ACS at SE 0.04, 2 p = 0.03, with a good calibration with both models. Conclusions: Albumin to creatinine ratio is an independent and accessible predictor of long-term adverse outcomes in NSTE-ACS, providing additional value for risk stratification. (Cardiol J 2016; 23, 3: 236-241)

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Microalbuminuria: A strong predictor of 3-year adverse prognosis in nondiabetic patients with acute myocardial infarction

Cited by 31 publications

References 24 publications

Microalbuminuria

Microalbuminuria

Significance of Micro Albuminuria as a Predictive Factor in Acute Myocardial Infection

Single spot albumin to creatinine ratio: A simple marker of long-term prognosis in non-ST segment elevation acute coronary syndromes

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