ROBERT STERLING PALMER, M.D., F.A.C.P.
Changes in the electrocardiograms of patients with essential hypertension have been described and considered as: (1) Characteristic of that condition1; (2) Indicative of hypertensive heart disease2; (3) Objective criteria of progress either favorable or unfavorable as the result of drugs,3 diet4 or surgical treatment.5
Observations herewith presented show (a) that the hypertensive pattern may be reversed by weight loss without change in the blood pressure (figure 1); (b) that inverted T waves may be reversed in 16 days with a weight loss of only 11 pounds, left axis deviation and the hypertension continuing (figure 2), and (c) that apparent improvement
PALMER RS. "IMPROVEMENT" IN THE HYPERTENSIVE PATTERN OF THE ELECTROCARDIOGRAM1. Ann Intern Med. 1951;34:712–716. doi: 10.7326/0003-4819-34-3-712
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Published: Ann Intern Med. 1951;34(3):712-716.
Cardiac Diagnosis and Imaging, Cardiology.
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