Correlation of Microalbuminuria with Ischemic Heart Disease in Type II Diabetics

Type 2 Diabetes is a common and serious disease leading to chronic, mostly irreversible macro and microvascular complications. Coronary Artery Disease is the leading cause of death in patients with Type II Diabetes Mellitus and is very often asymptomatic and silent. It may present without warning as Acute Myocardial Infarction, Heart Failure, Arrhythmia or sudden death, thus emphasizing the potential value of identifying high-risk individuals with diabetes who are having Silent Myocardial Ischemia. Microalbuminura is now considered as a cardiac risk marker and can easily measured in the lab. The present study was undertaken to assess the correlation of microalbuminuria with silent Myocardial Ischemia in patients of Type 2 DM. The results of the study showed that 64 % of asymptomatic patients with microalbuminuria had a positive treadmill exercise test. Hence we can deduce from this study that microalbuminuria is an independent risk factor for silent myocardial ischemia. Screening Type 2 Diabetes patients for microalbuminuria can identify a subset of patients who should be screened early for Silent myocardial Ischemia, so as to save high mortality and morbidity associated with silent myocardial infarction.