Association of serum bilirubin levels with albuminuria in patients with essential hypertension.

Abstract:

OBJECTIVES:This study was undertaken to evaluate the relationship between serum bilirubin concentrations and the degree of urinary albumin excretion in hypertensive patients. DESIGN AND METHODS:A total of 120 hypertensive subjects were enrolled, in which 80 (67%) with normoalbuminuria (albumin excretion rate [AER] of <20μg/min), 30 (25%) with microalbuminuria (AER of 20-200μg/min) and 10 (8%) with macroalbuminuria (AER>200μg/min). Logarithmic (log) transformation of urinary albumin excretion was carried out before performing correlation and regression analysis. RESULTS:Patients with micro- or macroalbuminuria had significantly lower serum bilirubin concentrations (P=0.004). By multivariate regression analysis, serum bilirubin concentration was an independent determinant of albuminuria and had an inverse correlation with log (urinary albumin excretion) in hypertensive patients (β=-0.189, P=0.023). CONCLUSIONS:These findings may partly explain the pathogenetic processes that link microalbuminuria and enhanced cardiovascular risk in hypertensive patients.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Huang SS,Huang PH,Chiang KH,Chen JW,Lin SJ

doi

10.1016/j.clinbiochem.2011.03.137

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

859-63

issue

10-11

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(11)00295-5

journal_volume

44

pub_type

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