Microalbuminuria (subtle increase in the urinary excretion of the albumin protein) has been associated with hypertension-mediated organ damages, revealed latest ESC/ESH guidelines. Albuminuria is a renal disease that is found to be independently associated with cardiovascular and renal problems without any links to diabetes.
While studying its effects and treatment, it was suggested to include albumin-to-creatinine ratio in the routine workup evaluation of the hypertensive patient. Changes in albuminuria were considered to moderate prognostic value in routine evaluations. ACEIs and ARBs were prescribed in maximum tolerated doses due to its effect on renal hemodynamic and glomerular structure.
While the ACEIs and ARBs had some effect on the results, the new CCBs generation used in addition to the RAAS blockades had promising results. T-type and N-type CCB generations were preferred for treatment when available.
A multifactorial and early antialbuminuric treatment is suggested for patients even when albuminuria values are below the cut-off value for microalbuminuria. Along with treatment, low-salt intake is also advised for all hypertensive patients, especially those with albuminuria.