The Diagnostic Approach to Hypertension Due to Unilateral Kidney Disease

Article1 December 1957THE DIAGNOSTIC APPROACH TO HYPERTENSION DUE TO UNILATERAL KIDNEY DISEASEALBERT A. BRUST, EUGENE B. FERRIS, F.A.C.P.ALBERT A. BRUST, EUGENE B. FERRIS, F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-6-1049 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMany accounts in the literature have described vascular and parenchymal lesions of the kidneys associated with hypertension, presumably representing human counterparts of the Goldblatt phenomenon. Restoration of blood pressure to normal following appropriate surgery has been the sole criterion for judging that the hypertension was indeed secondary to the renal lesion. Too often, however, surgical removal of the offending kidney fails to reduce blood pressure and perhaps even hastens the progress of the hypertensive disease.With the advent of improved x-ray technics, especially aortography, suspect renal lesions are being delineated with greater frequency than ever before. The need, therefore, for...Bibliography1. BrustAssaliFerris AANSEB: Evaluation of neurogenic and humoral factors in blood pressure maintenance in normal and toxemic pregnancy using tetraethylammonium chloride, J. Clin. Investigation 27: 717-726, 1948. CrossrefMedlineGoogle Scholar2. Boyarsky S: Paraplegia following translumbar aortography, J. A. M. A. 156: 599-601, 1954. CrossrefMedlineGoogle Scholar3. BlahdMarcusWasserman WHRDM: A case of malignant hypertension secondary to renal ischemia, Ann. Int. Med. 37: 179-185, 1952. LinkGoogle Scholar4. BrustFerris AAEB: Varying patterns of blood pressure response to autonomic blockade: implications concerning the interplay of neurogenic and humoral factors in control of vascular tone, in Proceedings of the Annual Meeting, Council for High Blood Pressure Research, American Heart Association 4: 59, 1955. Google Scholar5. PageMcCubbin IHJW: Increased resistance to autonomic ganglionic blockade by tetraethylammonium chloride and pentamethonium iodide in experimental neurogenic hypertension, Am. J. Physiol. 168: 208-217, 1932. CrossrefGoogle Scholar6. FisherCorcoran ERAC: Congenital coarctation of the abdominal aorta with resultant renal hypertension, Arch. Int. Med. 89: 943-950, 1952. CrossrefGoogle Scholar7. PoutasseDustan EFHP: Urologic causes of hypertension. I. Hypertension due to renal artery lesions, Cleveland Clin. Quart. 23: 3-15, 1956. CrossrefGoogle Scholar8. ThompsonSmithwick JERH: Human hypertension due to unilateral renal disease with special reference to renal artery lesions, Angiology 3: 493-505, 1951. CrossrefGoogle Scholar9. ArnoldGoodwinColston MWWEJA: Renal infarction and its relation to hypertension, J. Urol. Survey 1: 191-219, 1951. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 10, 1957.From the Department of Medicine, Emory University School of Medicine, and the Grady Memorial Hospital.†This work was supported in part by grants from the U.S.P.H.S., Georgia Heart Association and American Heart Association.‡Deceased.Requests for reprints should be addressed to Albert A. Brust, M.D., The Kettering Laboratory, College of Medicine, University of Cincinnati, Eden Avenue, Cincinnati 19, Ohio. 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POUTASSE, M.D.Human hypertension due to thrombotic occlusion of both renal arteries: Report of a case "cured" by surgical removal of the thrombus 1 December 1957Volume 47, Issue 6Page: 1049-1066KeywordsBlood pressureChloridesHeartHospital medicineHypertensionKidneysLesionsRenal diseasesSecondary hypertensionSurgery ePublished: 1 December 2008 Issue Published: 1 December 1957 Copyright & PermissionsCopyright ©, 1957, by The American College of PhysiciansPDF downloadLoading ...