A. R. NISSENSON, M.D.
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To the editor: The pharmacologic management of renin-dependent hypertension in patients on chronic hemodialysis is often difficult and unrewarding with standard antihypertensive regimes. Renin-dependency may occur in 10% to 40% of patients on hemodialysis, and treatment with minoxidil, or hemofiltration (where available), is often necessary; when these are unavailable, bilateral nephrectomy with its attendant removal of all renal excretory and endocrine function results. It is therefore of importance that Lindner, Douglas and Adamson (1) report the effectiveness of propranolol in the treatment of renindependent hypertension in patients on hemodialysis. Though they state that this agent is ". . . safe
NISSENSON AR. Propranolol and Hypoglycemia in Renal Failure. Ann Intern Med. 1978;89:148. doi: 10.7326/0003-4819-89-1-148_2
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Published: Ann Intern Med. 1978;89(1):148.
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