الفهرس 
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Abstract
SUMMARY & CONCLUSION
Summary and Conclusion
That work has been carried out on isolated systolic hypertensive elderly patients,
It aims to determine, the relationship between microalbuminuria and subclinical cardiac structural changes (SWT — PWT — LVMI)
That study included 100 ISH and 50 apparently normal persons as a control group.
In our study we found that:
There were significant differences between cases and the control group in the following: age, SBP, DBP, Pulse, height, microalbminuria, HT, WBCS, TGS, cholesterol, creatinine, urea, uric acid, SWT, PWT, LVM and LVMI.
there was a significant association between the level of albuminuria and cardiac structural changes, and high positive correlation between the level of microalbminuria and both LVM and LVMI, significant correlation with SWT, tendency to be significant with PWT in those patients.
There was significant association between sex and both LVM and
LVH.
There was a significant positive correlation between the duration of hypertension and both microalbminuria and LVH, and also between age and LVH.
There was significant correlation between serum cholesterol level and LVM, tendency to be significant with microalbminuria, SWT, and LVMI
-a 116 ie.
SUMMARY & CONCLUSION
There was positive significant correlation between serum uric acid level and the level of microalbminuria, SWT, LVM, and LVMI.
Regarding the relation between LVH and risk factors of morbidity (ischaemia — CVS — arrhythmia — myocardial infarction). There was significant association only with arrhythmia, myocardial infarction.
So we conclude that:
The presence of microalbminuria represents an early marker of cardiac structural damage in isolated systolic hypertensive elderly patients.
In hypertensive patients cardiovascular prognosis depends not only on the level of blood pressure and associated risk factors, but also an the presence of target organ damage.
Assessment of subclinical end organ damage is a key element in the evaluation of hypertensive patients.
Recommendation:
Detection of microalbminuria in every hypertensive patient, it is an important and recommended as it is a sign of damaged blood vessels, and is considered one of the new associated risk factors of hypertension.
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