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January 1, 1941Archives of Internal Medicine6 citations

Arterial Hypertension and Section of the Splanchnic Nerves

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DRDavid A. Rytand

Key Result

The abstract introduces a case series of 40 patients undergoing splanchnicectomy for arterial hypertension but is truncated and reports no results.

Study Design

Type

Observational (n=40)

Structured PICO

Does splanchnicectomy improve outcomes in patients with arterial hypertension, including those with congestive heart failure and angina pectoris?

P
Population
40 patients with arterial hypertension undergoing splanchnicectomy, including those with standard contraindications.
E
Exposure
Splanchnicectomy (section of the splanchnic nerves)

This early case series describes the use of splanchnicectomy for arterial hypertension in a broader patient population than typically selected, including those with heart failure and angina.

Abstract

The surgical treatment of hypertension, though still in the experimental stage, has been widely reviewed in innumerable reports. In contribution to the literature of an increasing experience with splanchnicectomy, as advocated by Peet, we wish to present the results obtained in 40 patients. In most of the published series, candidates for operation were selected on more or less arbitrary grounds; for example, most surgeons accept for operation only patients under 50 years of age who are without congestive heart failure, angina pectoris, advanced arteriosclerosis and glomerulonephritis; they further prefer patients whose blood pressure is labile either spontaneously or after the administration of sedatives and vasodilating drugs. However, since the nerve-cutting operations for arterial hypertension are so entirely empiric, we felt justified in ignoring the published contraindications. Hoping to learn more about the effects of operation, we have accepted patients without regard to age, with congestive heart failure, angina pectoris and

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Cite This Study

David A. Rytand (1941) conducted an observational in Arterial hypertension (n=40). Splanchnicectomy was evaluated. The abstract introduces a case series of 40 patients undergoing splanchnicectomy for arterial hypertension but is truncated and reports no results.

synapsesocial.com/papers/6a64fade5dee09b701c6da20https://doi.org/10.1001/archinte.1941.00200010011001
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Also Consider

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

  1. 1Surgical Measures in Hypertension1952 · 26 citations
  2. 2THE SYMPATHETIC NERVOUS SYSTEM IN NEUROGENIC AND RENAL HYPERTENSION1941 · 43 citations
  3. 3SYMPATHECTOMY FOR HYPERTENSION1950 · 5 citations
  4. 4An Evaluation of Treatment of Hypertension Associated with Occlusive Renal Arterial Disease1963 · 67 citations
  5. 5Surgery of the Autonomic Nervous System1947 · 13 citations