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Medicina interna de México
Print version ISSN 0186-4866
Abstract
DELGADO-MEJIA, Manuel et al. Control and evaluation of microalbuminuria in a population of the state of Nayarit, Mexico. Study conducted by self-measurement on loan of blood pressure. Med. interna Méx. [online]. 2018, vol.34, n.6, pp.864-873. ISSN 0186-4866. https://doi.org/10.24245/mim.v34i6.2617.
BACKGROUND
There are precedents that the strict control of the blood pressure figures can have a favorable impact avoiding the development of microalbuminuria, and therefore preventing the appearance of nephropathy, as well as significantly reducing fatal outcomes due to cardiovascular and cerebrovascular disease.
OBJECTIVE
To show that strict control of tension figures can impact decreasing the microalbuminuria.
MATERIAL AND METHOD
An observational and descriptive study was done from January to December 2017 with patients with an established diagnosis of type 2 diabetes mellitus and/or systemic hypertension, with random selection. These patients were incorporated into a Self-Commissioning Protocol to loan blood pressure. Patients with chronic kidney disease were not included.
RESULTS
There were included 200 patients. The correlation between multiple variables and the presence of microalbuminuria was measured finding a statistically significant correlation when segmenting patients according to the ACC/AHA 2017 classification and after adjusting the antihypertensive dose with p = 0.00001.
CONCLUSIONS
Treatment should be adjusted based on the patient’s blood pressure, regardless of whether the treatment is with IECAS or ARA II.
Keywords : Blood pressure; Microalbuminuria; Antihypertensive.
