Title: Coronary Artery Disease Severity Assessment Using Urinary Dipstick Albumin Test
Authors: Venkatram Murugesan, Nagarajan Kinathankaraiyan, Ashida S Thulaseedharan, Badrinath A Kuppuswamy
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.115
Abstract
Coronary artery disease refers to the gradual or sudden, reversible or irreversible obstruction to the heart’s blood supply due to the plaque build-up over several years or due to vasospasm. Albuminuria is one of the recently added risk factors for coronary artery disease. Consensus on albuminuria as an individual risk factor and whether it correlates with the severity of the disease is lacking. This study aims to correlate the severity of obstruction of coronary arteries with albuminuria in acute coronary syndrome patients. This study was done to correlate the severity of angiographically proven coronary artery disease with urinary dipstick albumin excretion in acute coronary syndrome patients. Acute coronary syndrome patients with more than 50% obstruction of one or more coronary arteries demonstrated by conventional coronary angiogram were included. Albuminuria by urinary dipstick method was analyzed. The data obtained was entered in the MS excel sheet and data analysis done using SPSS v24.0. In the study none of the subjects had history of Diabetes, Hypertension, Urinary tract infection and drug history. 65.5% of the patients had single vessel disease, 14.5% had double vessel disease and 20% had triple vessel disease. There was a statistically significant correlation between severity of coronary artery disease and albuminuria.
Key Words: Albuminuria, dipstick, coronary artery disease severity, acute coronary syndrome.
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