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To the Editor:—
Let me advise that it has been the policy of my associates and myself to have these patients under observation in the hospital for one week before operating. This was done with patient 1 and three hourly readings were made. During this time the diastolic pressure did not go below 140.To date we have operated only in the so-called malignant type of hypertensive case and it has been our experience that, though the systolic pressure varies considerably, the diastolic does not go below 130 or 140 even with rest in bed.It is also a fact that patient 1, as stated in the original article, had been in bed two months before operation and during this time the diastolic pressure did not go below 140.[Note.—The letter was referred to Dr. Joseph L. DeCourcy, who writes:]We feel confident that our results will improve if we
DeCourcy JL. SUPRARENALECTOMY IN ESSENTIAL HYPERTENSION. JAMA. 1934;102(22):1869-1870. doi:10.1001/jama.1934.02750220047025