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August 1930


Arch Intern Med (Chic). 1930;46(2):227-235. doi:10.1001/archinte.1930.00140140065004

A marked increase in the average mortality over the expected norm occurs in persons with arterial hypertension.1 Great variations occur, however, and it is not without difficulty that the question of individual prognosis can be answered. The patient's inevitable query, "Will I get well ? Can my blood pressure be reduced?" warrants careful attention. Large masses of statistics reveal merely the mean or average data, and all individual variations are ironed out. The patient is naturally not particularly interested in the average outlook for the group, but is vitally concerned in his own personal problem. The height of the arterial tension is wholly inadequate as a sole criterion of the prognosis;2 the degree of diastolic hypertonia represents merely one of several factors which must be given due consideration.

Among the important factors affecting the prognosis in any specific clinical instance are: the age of the patient; the duration of the