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December 20, 1941


Author Affiliations


JAMA. 1941;117(25):2189. doi:10.1001/jama.1941.02820510077028

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To the Editor:—  The paper by Woods and Peet (The Journal, November 1, p. 1508) needs careful study and perhaps additional comment in order to emphasize certain points. The important question is whether or not to recommend surgical treatment for patients with hypertension. Both in their own series and in the series of Wagener and Keith from the Mayo Clinic which they use for comparison, the percentage of cases classified as group 4 (malignant hypertension) is much higher than that found in private practice. Their own series is stated to be 32 per cent and the Mayo group 67 per cent. To a great extent, therefore, they are not discussing the kind of cases that comprise most of the cases of hypertension seen in private practice.The majority of patients with hypertension seen in private practice have a moderately high blood pressure and a moderate degree of arteriosclerosis of the

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