Title Albuminuria and other target organ damage in Chinese patients with hypertension and diabetes: A data analysis based on the ATTEND study
Authors Ren, Qian
Ma, Changsheng
Wang, Jiguang
Guo, Xiaohui
Ji, Linong
Affiliation Peking Univ, Dept Endocrinol & Metab, Peoples Hosp, 11 Xizhimen South St, Beijing 100044, Peoples R China
Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiol, Beijing, Peoples R China
Shanghai Jiao Tong Univ, Shanghai Key Lab Hypertens, Ctr Epidemiol Studies & Clin Trials, Shanghai Inst Hypertens,Sch Med,Ruijin Hosp,Dept, Shanghai, Peoples R China
Peking Univ, Dept Endocrinol, Hosp 1, Beijing, Peoples R China
Keywords LEFT-VENTRICULAR HYPERTROPHY
CORONARY-HEART-DISEASE
BLOOD-PRESSURE
RENAL-FUNCTION
CARDIOVASCULAR-DISEASE
RISK-FACTORS
MICROALBUMINURIA
ASSOCIATION
MELLITUS
PREVALENCE
Issue Date Jan-2020
Publisher JOURNAL OF DIABETES AND ITS COMPLICATIONS
Abstract Aims: The relationship between albuminuria and left ventricular hypertrophy (LVH) was well characterized in hypertension (HTN), but not in diabetes. Moreover, most studies have described the correlation between albuminuria and cardiovascular mortality, but not cardiovascular diseases (CVD) morbidity. This study aimed to explore the relationship between albuminuria and LVH, CVD morbidity in patients with HTN, diabetes mellitus (DM) or HTN + DM. Methods: Conducted a data analysis based on the demographic, medical history and laboratory data of 2504 patients from the ATTEND study, a national registry study on HTN and DM in Chinese outpatients. Results: The prevalence of LVH and CVD was 7.7% and 21.5% in HTN + DM, 7.6% and 17.6% in HTN, 3.9% and 5.2% in DM patients. Subjects with HTN + DM implied higher risk of LVH (P = 0.023), CVD (P = 0.001) and 10-year coronary heart disease (CHD) (P < 0.001) than those with DM only. There was no significant relationship between albuminuria and LVH or CVD. Conclusions: More than one-fifth of HTN and/or DM patients with microalbuminuria suffered from CVD. Comorbidity of DM and HTN significantly increases cardiovascular events than DM only. No statistical association between albuminuria and LVH or CVD was found. (C) 2019 Elsevier Inc. All rights reserved.
URI http://hdl.handle.net/20.500.11897/585411
ISSN 1056-8727
DOI 10.1016/j.jdiacomp.2019.107470
Indexed SCI(E)
Appears in Collections: 人民医院
第一医院

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