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September 29, 1945

Arterial Hypertension: Its Diagnosis and Treatment

JAMA. 1945;129(5):415. doi:10.1001/jama.1945.02860390101026

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Abstract

To those who know of the work done by the authors on the treatment of hypertension with kidney extracts this book will be a surprise. Only two of its pages are devoted to the treatment of hypertension by kidney extract; and this brief section concludes with the statement that "it would be premature to attempt to form any considered judgment about these extracts."

Section I considers normal blood pressure, the classification of hypertension, tests for measuring vascular responsiveness, and early stages of hypertension. In section II, essential and malignant hypertension, the findings on physical examination, and the psychotherapy of hypertension are discussed. Section III is devoted to "the cardiovascular evolution of the disease." The basic factor in hypertension is increased vascular resistance, which is concentrated in the arterioles. The exception to this rule is found in the heart itself, where the injury is to the coronary arteries. A brief discussion

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