Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Renovascular Hypertension in Unselected Patients

Renovascular Hypertension in Unselected Patients Abstract THE REPORTED incidence of hypertension secondary to unilateral renal disease, as high as 20%, is based on the experience of centers to which selected patients are referred.1,2 We are presenting here the results of a sytematic examination for the presence of unilateral renovascular disease in a group of unselected hypertensive patients. Materials and Methods Patients with hypertension were referred from the Medical Clinic and the wards of French Hospital or from a Union Health Center. The sole criterion for referral was the presence of diastolic hypertension. Fifty consecutive patients who were found after referral to have persistent diastolic blood pressure readings in excess of 100 mm Hg were admitted to the study. Systolic pressures ranged from 140 to 300 mm Hg; diastolic pressures from 104 to 190 mm Hg.Ages ranged from 26 to 72 years. Twenty-one patients were white and 29 Negro; 25 were women and 25 men. References 1. DeBakey, M., et al: Lesions of the Renal Artery , Amer J Surg 107:84-96, 1964.Crossref 2. Poutasse, E.F.: Surgical Treatment of Renal Hypertension , Amer J Surg 107:97-103, 1964.Crossref 3. Baldwin, D.S., et al: Renal Function in the Separate Kidneys of Man: II. Hemodynamics and Excretion of Solute and Water in Essential Hypertension , J Clin Invest 39:395-404, 1960.Crossref 4. Hulet, W.H., et al: Renal Function in the Separate Kidneys of Man: I. Hemodynamics and Excretion of Solute and Water in Normal Subjects , J Clin Invest 39:383-394, 1960.Crossref 5. Connor, T.D., et al: Hypertension Due to Unilateral Renal Disease: with a Report on a Functional Test Helpful in Diagnosis , Bull Hopkins Hosp 100:241-276, 1957. 6. Maxwell, M.H., and Prozan, G.B.: Renovascular Hypertension , Prog Cardiovasc Dis 5:81-117, 1962.Crossref 7. Brest, A.N., and Bower, R.: Renal Arterial Hypertension , Amer J Cardiol 17:612-616, 1966.Crossref 8. Smithwick, R.H., et al: Surgical Management of Renal Hypertension , Amer J Surg 107:104-120, 1963.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Loading next page...
 
/lp/american-medical-association/renovascular-hypertension-in-unselected-patients-mjAN4dUlaq
Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.00300020048005
Publisher site
See Article on Publisher Site

Abstract

Abstract THE REPORTED incidence of hypertension secondary to unilateral renal disease, as high as 20%, is based on the experience of centers to which selected patients are referred.1,2 We are presenting here the results of a sytematic examination for the presence of unilateral renovascular disease in a group of unselected hypertensive patients. Materials and Methods Patients with hypertension were referred from the Medical Clinic and the wards of French Hospital or from a Union Health Center. The sole criterion for referral was the presence of diastolic hypertension. Fifty consecutive patients who were found after referral to have persistent diastolic blood pressure readings in excess of 100 mm Hg were admitted to the study. Systolic pressures ranged from 140 to 300 mm Hg; diastolic pressures from 104 to 190 mm Hg.Ages ranged from 26 to 72 years. Twenty-one patients were white and 29 Negro; 25 were women and 25 men. References 1. DeBakey, M., et al: Lesions of the Renal Artery , Amer J Surg 107:84-96, 1964.Crossref 2. Poutasse, E.F.: Surgical Treatment of Renal Hypertension , Amer J Surg 107:97-103, 1964.Crossref 3. Baldwin, D.S., et al: Renal Function in the Separate Kidneys of Man: II. Hemodynamics and Excretion of Solute and Water in Essential Hypertension , J Clin Invest 39:395-404, 1960.Crossref 4. Hulet, W.H., et al: Renal Function in the Separate Kidneys of Man: I. Hemodynamics and Excretion of Solute and Water in Normal Subjects , J Clin Invest 39:383-394, 1960.Crossref 5. Connor, T.D., et al: Hypertension Due to Unilateral Renal Disease: with a Report on a Functional Test Helpful in Diagnosis , Bull Hopkins Hosp 100:241-276, 1957. 6. Maxwell, M.H., and Prozan, G.B.: Renovascular Hypertension , Prog Cardiovasc Dis 5:81-117, 1962.Crossref 7. Brest, A.N., and Bower, R.: Renal Arterial Hypertension , Amer J Cardiol 17:612-616, 1966.Crossref 8. Smithwick, R.H., et al: Surgical Management of Renal Hypertension , Amer J Surg 107:104-120, 1963.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1967

References