April 22, 1933

L'hypotension artérielle dans les maladies chroniques.

Author Affiliations

Par Gaston Giraud, professeur à la Faculté de médecine de Montpellier. Paper. Price, 40 francs. Pp. 259. Paris: Masson & Cie, 1931.

JAMA. 1933;100(16):1282. doi:10.1001/jama.1933.02740160066039

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This excellent volume presents a careful analysis of all the many chronic disturbances that may be associated with arterial hypotension. There is little discussion of primary or constitutional hypotension. An effort has been made to emphasize the mechanism of the production of hypotension by tabulation of the various factors involved; for example, general systolic hypotension is attributed to diminution of the circulating blood volume, which may be secondary to (a) intracardiac disease, (b) extracardiac pressure on the circulatory apparatus, (c) cardiac arrhythmias, (d) myocardial weakness or (e) peripheral difficulties (as in shock). Some of these divisions appear somewhat arbitrary. Systolic and diastolic hypotension are considered more or less separate phenomena. The major portion of the book deals with the relationship of secondary arterial hypotension with other diseases. Diseases of the heart, blood vessels, blood and nervous system, endocrinologic disturbances and respiratory, gastro-intestinal and renal diseases are all considered in turn.

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