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May 20, 1950

Akute Infektionskrankheiten und Hochdruck: Untersuchungen und Betrachtungen zum Problem der postinfektiösen Hypertonie

JAMA. 1950;143(3):325. doi:10.1001/jama.1950.02910380109030

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This book offers summaries of 46 cases of acute infectious diseases (scarlet fever, diphtheria, angina tonsillaris, rheumatic fever and others) in which particular attention was given to the blood pressure and urinary findings during convalescence. On this basis, and after reviewing some of the recent extensive literature on the subject, Arnold concludes that infections are generally followed by oscillations of several regulatory mechanisms of the body. These oscillations are sometimes rhythmic, sometimes irregular and too varied to be classified. The behavior of the blood pressure is likewise varied, and classifications of hypertension made for clinical convenience should not be assumed to have any ulterior significance. It has become doubtful, according to Arnold, whether inflammatory changes in the kidney are causally related to hypertension, and clinical classifications of hypertension do not coincide with hemodynamic reaction types. This last statement is, unfortunately, not based on any enumeration of possible combinations or any

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