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Excretion of excess amount of protein (albumin) in the urine is an indicator of kidney damage, and it is now recognized as a strong predictor of heart disease. To check the the presence of protein in urine,you can give a spot urine sample at a aboratory at any time of the day. Protein excretion between 30 to 299 mg per day is called microalbuminuria, a condition that indicates that the tiny vessels of the kidneys have been affected. Even moderate kidney disease has been shown to increase the risk for heart attack and stroke. According to an estimate, more than 60 million people in the world have some degree of chronic kidney disease that significantly increases their risk of death from heart attack and stroke. This risk becomes extremely high in people with kidney failure who are on dialysis. Kidney dysfunction (probably because it impairs filtration of body wastes) tends to cause increased inflammation in the coronary arteries. As a result, the arteries become hard and narrow, and the chances of heart attack become very high.
TREATING PROTEIN EXCRETION
The measures listed below help treat excretion of protein in the urine, thereby significantly reducing the risk for heart disease and kidney failure:
• Reduction and control of high blood pressure.
• Controlling blood cholesterol.
• Limiting daily protein intake to 0. 6 gram per 1 kg of body weight.
• Taking an ACE inhibitor class of drug every day. These drugs include enalapril (Vasotec) and ramipril (Altace).
• Timely treatment of urinary tract infections.
• Care in using pain-relieving drugs of the NSAID class such as Advil, Voltaren, and Motrin.
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