If i have normal uric acid levels can gout attacks still lead to kidney or heart problems?thanks

Yes: Uric acid levels are usually, not always, elevated with gout. Chronic gout can cause kidney damage and affect the heart. See these two sites for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001459/ http://www.Med.Ucla.Edu/modules/wfsection/article.Php?Articleid=475.

Very unlikely: Do you actually have gout? What exactly is your serum uric acid level? A normal serum uric acid and gout is very rare. These attacks are usually breakthrough attacks in someone who is already on allopurinol. It is highly unlikely anyone with a serum uric acid below 6 mg/dl will have kidney or heart problems.

Uric acid injurt: Higher than normal serum uric scid has been associated with progressive vascular disease, heart disease, kidney disease, and worse outomes. Gout attacks themselves are not linked in the studies with these problems. Normal uric acid serves you well. Do your best with diet / avoid fat. Minimize meats and fish and shellfish. Avoid alcohol. Keep BP normal. Eat more fruit and veg.