ROY J. MOSER JR., M.D.; JOHN R. CALDWELL, M.D.
As early as 1925, Fahr suggested that renal ischemia might be a cause of hypertension in patients with diffuse vascular disease (1). Goldblatt later provided experimental evidence of this important concept in renal artery ligation in dogs (2).
In recent years, renal artery lesions frequently have been found in patients with hypertension. Some of these cases featured bruits as the only physical finding pointing to the diagnosis of renal artery aneurysm, renal arteriovenous fistula, or renal artery stenosis (3-5).
Sokolow emphasized that a bruit over the upper abdominal aorta, renal arteries, or, less importantly, over the femoral arteries is one
MOSER RJ, CALDWELL JR. Abdominal Murmurs, an Aid in the Diagnosis of Renal Artery Disease in Hypertension. Ann Intern Med. 1962;56:471–483. doi: 10.7326/0003-4819-56-3-471
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Published: Ann Intern Med. 1962;56(3):471-483.
Cardiology, Coronary Risk Factors, Hypertension, Nephrology.
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