[Microalbuminuria is an early marker for increased morbidity and mortality].

P Bramlage, H U Wittchen, D Pittrow, R Dikow, W Kirch, H Lehnert, E Ritz
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Abstract

Recent studies have shown the beneficial effects of a blockade of the renin-angiotensin system (RAS) not only for blood pressure reduction but also end organ protection. One of the markers that is closely correlated with the increased cardiovascular risk is microalbuminuria. A common mediator for the development of both, microalbuminuria and end organ damage seems to be Angiotensin II, the blockade of which apparently reduces microalbuminuria as well as end organ damage. Therefore we had a closer look into pathophysiology of microalbuminuria and the relevance for end organ damage and discuss current medical strategies to alleviate these diseases.

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[微量白蛋白尿是发病率和死亡率增加的早期标志]。
最近的研究表明,阻断肾素-血管紧张素系统(RAS)不仅对降低血压,而且对终末器官也有保护作用。与心血管风险增加密切相关的标志物之一是微量白蛋白尿。微白蛋白尿和终末器官损伤的共同介质似乎是血管紧张素II,其阻断可明显减少微白蛋白尿和终末器官损伤。因此,我们仔细研究了微量白蛋白尿的病理生理学及其与终末器官损伤的相关性,并讨论了当前缓解这些疾病的医学策略。
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[Hypertension, diabetes mellitus and comorbidity in primary care]. [Microalbuminuria is an early marker for increased morbidity and mortality]. [Diabetes, hypertension and microalbuminuria in primary care]. [Nephropathy: an overview for daily practice]. ["Hypertension and diabetes screening and awareness" -- (HYDRA) study].
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