scholarly journals Relationship between fibrinogen/albumin ratio and early renal damage markers in patients with hypertension

Author(s):  
jiankai jian dong ◽  
Yaping Zhang

Abstract Aim:To investigate the relationship between fibrinogen/albumin ratio (FAR) and early renal damage in hypertensive patients.Patients & methods:A retrospective study included 626 patients with hypertension, grouped according to the FAR tertiles and the presence or absence of early renal impairment. Early renal damage indicators[Serum cystatin c and β2 microglobulin] were detected in each group, and the differences between groups were compared, and the factors affecting early renal damage indicators were analyzed.Results:Serum cystatin c(CysC) and β2 microglobulin(β2-MG) levels in patients increased with FAR. In the renal impairment group, the fibrinogen and FAR were significantly increased, and serum albumin was decreased. FAR was positively correlated with β2-MG and CysC. Regression analysis showed that FAR level was a factor affecting blood β2-MG(β=6.632, p<0.001)and CysC(β=1.991, p<0.001).Conclusion:Elevated FAR is an independent risk factor for early renal damage in hypertensive patients

2013 ◽  
Vol 6 ◽  
pp. CMED.S12633 ◽  
Author(s):  
Heba S. Assal ◽  
Salwa Tawfeek ◽  
Enas A. Rasheed ◽  
Dalia El-Lebedy ◽  
Eman H. Thabet

Renal tubulointerstitium plays an important role in the development and progression of diabetic nephropathy. The aim of this study was to assess serum cystatin C and 2 renal tubular enzymes, neutrophil gelatinase associated lipocalin (NGAL) and N-acetyl-beta-D-glucosaminidase (NAG), as screening markers for early renal dysfunction in patients with type 2 diabetes mellitus (T2DM). ROC curve analysis showed that urinary NAG is the most sensitive marker of microalbuminuria and early renal damage with sensitivity of 83.3%, while serum cystatin C was the most sensitive and specific marker of macroalbuminuria and damage progress with sensitivity of 70.8% and specificity of 83.3% versus 70.6% and 83.3% for uNGAL; and 64.7% and 66.7% for NAG, respectively. Our data indicate that urinary NAG is the most sensitive marker for early renal damage in diabetic patients. However, for damage progress, serum cystatin C is the most sensitive and specific marker for follow-up and monitoring renal dysfunction.


2019 ◽  
Vol 23 (3) ◽  
pp. 297-305 ◽  
Author(s):  
Shih-Han S. Huang ◽  
George A. Kaysen ◽  
Nathan W. Levin ◽  
Alan S. Kliger ◽  
Gerald J. Beck ◽  
...  

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