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October 7, 1911

PATHOLOGIC FINDINGS IN HYPERTENSION

Author Affiliations

Physician to Out-Patients, Massachusetts General Hospital; Visiting Physician, House of the Good Samaritan; Assistant in the Theory and Practice of Physic, Harvard Medical School BOSTON

JAMA. 1911;LVII(15):1179-1184. doi:10.1001/jama.1911.04260100005002
Abstract

During the last ten years much has been written on the subject of blood-pressure and hypertension. Most of the work has been based on clinical findings; comparatively little has been done in the way of following cases to the autopsy table. There are, of course, grave objections to drawing deductions from a comparative study of blood-pressure determinations taken shortly before death and the pathologic lesions found at autopsy. At the same time it seemed that the study of a group of cases which had been followed to the autopsy table might be of interest.

All observers are agreed in regard to the frequent occurrence of hypertension in nephritis. Cushing1 and others2, 3 have shown that high blood-pressure occurs in cases with increased intracranial pressure. The chief discussion has been directed toward the question of the occurrence of hypertension in arteriosclerosis independent of a nephritis. Sawada4 has never seen

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