"IMPROVEMENT" IN THE HYPERTENSIVE PATTERN OF THE ELECTROCARDIOGRAM
Authors: R S PALMER
Journal: Annals of Internal Medicine (1951)

Article1 March 1951"IMPROVEMENT" IN THE HYPERTENSIVE PATTERN OF THE ELECTROCARDIOGRAMROBERT STERLING PALMER, M.D., F.A.C.P.ROBERT STERLING PALMER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-3-712 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptChanges 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.5Observations 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...Bibliography1. RykertHepburn HEJ: Electrocardiographic abnormalities characteristic of certain cases of arterial hypertension, Am. Heart J. 10: 942, 1935. CrossrefGoogle Scholar2. EvansMathewsWhite EMPD: The electrocardiogram in hypertension, Am. Heart J. 30: 140, 1945. CrossrefGoogle Scholar3. Treis ED: Recent advances in the medical treatment of essential hypertension with particular reference to drugs, M. Clin. North America 32: 1247, 1948. CrossrefMedlineGoogle Scholar4. Kempner W: Some effects of the rice diet treatment of kidney disease and hypertension, Bull. New York Acad. Med. 22: 358, 1946. Google Scholar5. BridgesJohnsonSmithwickWhite WCALRHPD: Electrocardiography in hypertension, J. A. M. A. 131: 1476, 1946. CrossrefMedlineGoogle Scholar6. Filley GF: The clinical significance of certain changes in the limb lead electrocardiogram in essential hypertension, Bull. Johns Hopkins Hosp. 79: 261 (Oct.) 1946. MedlineGoogle Scholar7. Sensenbach W: Some common conditions, not due to primary heart disease, that may be associated with changes in the electrocardiogram, Ann. Int. Med. 25: 632 (Oct.) 1946. LinkGoogle Scholar8. Lewis T: The mechanism and graphic registration of the heart beat, Ed. 3, 1925, Shaw and Sons, London, p. 120 et seq. Google Scholar9. Goldberger E: Unipolar electrocardiography, 1947, Lea & Febiger, Philadelphia, p. 47. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication August 27, 1949.From the Hypertension Clinic and the Committee on Research in Diseases of the Autonomic Nervous System, Massachusetts General Hospital, Boston, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDiätetische und medikamentöse Behandlung des HochdrucksSystolic and diastolic loading of the heart. II 1 March 1951Volume 34, Issue 3Page: 712-716KeywordsAutonomic nervous systemBlood pressureDrugsElectrocardiographyHeartHospitalsHypertensionWeight loss Issue Published: 1 March 1951 PDF DownloadLoading ...