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  1. R krishnan
  2. General Nephrology Questions
  3. Sunday, 12 April 2015
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What is the current thinking about Microalbuminuria (or moderately increased albumin ) and Cardiovascular disease ?
Responses (4)
Accepted Answer Pending Moderation
Bump
  1. more than a month ago
  2. General Nephrology Questions
  3. # 1
Accepted Answer Pending Moderation
Hello, There have been no more recent RCTs to inform this issue. Personally, in patients with well controlled BP who are on an ACEi or ARB, I no longer escalate the dosage of either nor add aldactone provided the ACR remains no greater than 50 mg / mmol (or so). I also would ensure such patients have had all other modifiable cardiovascular risk factors addressed because more than anything else, the finding of microalbuminuria identifies a patient at risk - even if it doesn't actually mediate this risk. Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 2
Accepted Answer Pending Moderation
Hi Thank you. I did read that review and Dr Glassock's from 2011. Is there anything more recent. In a hypertensive patient with Microalbuminuria ( non diabetic ) and no cardiovascular disease what would be an evidence based approach. thanks again RK
  1. more than a month ago
  2. General Nephrology Questions
  3. # 3
Accepted Answer Pending Moderation
Hello, I could repeat all my thoughts on this but I wrote a legthy post on this here in the UKidney news section. Please see the link below: [url=/news/entry/treating-microalbuminuria-to-reduce-cardiovascular-disease-an-increasingly-dangerous-strategy]http://ukidney.com/news/entry/treating-microalbuminuria-to-reduce-cardiovascular-disease-an-increasingly-dangerous-strategy[/url] Happy to address any follow-up questions below once you've had a chance to read it. Dr. Jordan Weinstein
  1. more than a month ago
  2. General Nephrology Questions
  3. # 4
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