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September 6, 1924

High Blood Pressure, Its Variations and Control. A Manual for Practitioners.

JAMA. 1924;83(10):785. doi:10.1001/jama.1924.02660100059031

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Various methods of estimating the blood pressure are here considered, with the conclusion that the combined auditory-tactile method should be employed as a routine. The author discusses the types of instruments now in use and then passes to the physiologic factors that cause and maintain blood pressure. An elevated diastolic pressure is considered of greater significance than an elevated systolic pressure. High blood pressure is not to be considered as a disease. The forms manifested by an abnormal increase in blood pressure are treated under simple hyperpiesia, the cardiovascular group and the renal group. The closing chapters include: blood pressure in tuberculosis; blood pressure in relation to life insurance, and the history of blood pressure estimation. The author concludes that inaccuracies in technic, and inattention to diastolic and pulse pressures are responsible for failure to appreciate the importance of blood pressure estimations.

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