ALBERT A. BRUST; EUGENE B. FERRIS, F.A.C.P.
Many 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
BRUST AA, FERRIS EB. THE DIAGNOSTIC APPROACH TO HYPERTENSION DUE TO UNILATERAL KIDNEY DISEASE12. Ann Intern Med. 1957;47:1049–1066. doi: 10.7326/0003-4819-47-6-1049
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Published: Ann Intern Med. 1957;47(6):1049-1066.
Cardiology, Coronary Risk Factors, Hypertension, Nephrology.
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