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Abstracts |

Hypokalemia: A Clinical Sentinel of Renal Hypertension.

H. D. Itskovitz, M.D.; A. M. Sellers, M.D., F.A.C.P.; and E. A. Hildreth, M.D., F.A.C.P.
Ann Intern Med. 1963;58(4):745. doi:10.7326/0003-4819-58-4-745
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The diagnosis of renal artery disease as a cause of hypertension usually depends upon renal arteriography. A low serum potassium in patients with hypertension may be an indication for this study.

Renal arteriograms were performed in 17 patients with hypertension and hypokalemia that could not be attributed to abnormal gastrointestinal potassium loss or the use of thiazide diuretics. Abnormalities of the renal artery were demonstrated in 47% of these patients. A retrospective review disclosed hypokalemia in 8 of 19 patients (42%) with radiographic lesions of the renal artery at The Hospital of the University of Pennsylvania. In contrast, the incidence


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