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February 6, 1943


Author Affiliations


From the Medical Department of the Equitable Life Assurance Society of the United States.

JAMA. 1943;121(6):383-389. doi:10.1001/jama.1943.02840060001001

While the cause of hypertension remains obscure and the treatment unsatisfactory, and its importance as a prime cause of mortality in adult life looms increasingly great, there is nevertheless reason for optimism in the near future and even at the present time. Clinical studies have contributed greatly to an increasing understanding of the course of the disease. These have indicated, as has been aptly stated by Riesman,1 that while hypertension is not conducive to longevity it is compatible with longevity; and it is, therefore, pertinent to inquire into the various factors which determine the outlook in subjects with hypertension. Until now prognosis has been concerned chiefly with estimation of the life expectancy and the eventuality of various serious complications which tend to occur over a period of years in the majority of subjects with persistent elevation of the arterial pressure. Recent investigations have offered new concepts which clarify the