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May 1, 1936Experimental Biology and Medicine

Nature of Peripheral Resistance in Arterial Hypertension

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Key result

Direct cross transfusions between patients with malignant hypertension and normotensive subjects produced no changes in blood pressure, indicating no increase in circulating pressor substances.

Why the study?

Is arterial hypertension caused by circulating pressor substances?

Population

Patients with malignant hypertension and subjects with normal cardiovascular systems undergoing 4…

Comparison

Direct cross transfusion of 500-2000 cc of… vs Baseline blood pressure; normal dog blood.

Design

Other

Follow-up

Immediate

Authors

MPMyron PrinzmetalUniversity of Southern CaliforniaBFBen J. FriedmanGrand Rapids Community CollegeNRNorman E. RosenthalMDS Associates (United States)

Discussion

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Implication

Suggests malignant hypertension is not maintained by circulating pressors; leaves open intrinsic vascular mechanisms for further study.

Structured PICO

Is arterial hypertension caused by circulating pressor substances?

P
Population
8 subjects involved in 4 direct cross transfusion procedures between patients with malignant hypertension and subjects with normal cardiovascular systems.
I
Intervention
Direct cross transfusion of 500-2000 cc of blood (humans); perfusion of tails with own vs normal blood (dogs).
C
Comparator
Baseline blood pressure (humans); normal dog blood (dogs).
O
Outcome
Change in blood pressure (humans) and pressure required to force blood through tissues (dogs).surrogate

This early experimental study provides physiological evidence against the hypothesis that arterial hypertension is maintained by circulating pressor substances.

Cite This Study

Prinzmetal et al. (1936) studied Arterial Hypertension (n=8). Direct cross transfusion vs. Normal blood was evaluated on Change in blood pressure. Direct cross transfusions between patients with malignant hypertension and normotensive subjects produced no changes in blood pressure, indicating no increase in circulating pressor substances.

synapsesocial.com/papers/6aa2ff19744b91802bc2280ahttps://doi.org/10.3181/00379727-34-8694p
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ROLE OF THE ARTERIES IN THE PERIPHERAL RESISTANCE OF HYPERTENSION AND RELATED STATES1937 · 16 citations
  2. 2THE NATURE OF THE PERIPHERAL RESISTANCE IN ARTERIAL HYPERTENSION WITH SPECIAL REFERENCE TO THE VASOMOTOR SYSTEM1936 · 159 citations
  3. 3Hypertension and the vasculature1995 · 48 citations
  4. 4In Vitro Demonstration of Vascular Hyper-responsiveness in Experimental Hypertension1965 · 57 citations
  5. 5Whole-Body Circulatory Autoregulation and Hypertension1971 · 19 citations