THE TREATMENT OF HYPERTENSION; MEDICAL VERSUS SURGICAL
Authors: Edgar V. Allen, Alfred W. Adson
Journal: Annals of Internal Medicine (1940)

Article1 August 1940THE TREATMENT OF HYPERTENSION; MEDICAL VERSUS SURGICALEDGAR V. ALLEN, M.D., F.A.C.P., ALFRED W. ADSON, M.D.EDGAR V. ALLEN, M.D., F.A.C.P.Search for more papers by this author, ALFRED W. ADSON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-2-288 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe title of our presentation was not intended to imply a conflict between the medical and the surgical treatment of hypertension. Rather, it was worded to express an attempt to evaluate the respective merits of these two methods of treatment. As internist and neurosurgeon, our primary interest in hypertension and that of our clinical associates is a therapeutic one; we want to find out what can be done to relieve hypertension and the symptoms which it produces. This report is of a continuation of studies reported earlier.1-7The importance of hypertension as a problem of health needs emphasis. High blood...References1. ADSONALLEN AWEV: Essential hypertension; general considerations and report of results of treatment by extensive resection of sympathetic nerves and partial resection of both suprarenal glands, Proc. Internat. Assemb. Inter-State Post-Grad. Med. Assoc. North Am., 1936, 181-191. Google Scholar2. ADSONALLEN AWEV: Essential hypertension. I. General considerations. II. The rationale and methods of surgical treatment. III. Selection of patients for and results of surgical treatment, Proc. Staff Meet., Mayo Clin., 1937, xii, 1-4; 49-52; 75-78. Google Scholar3. ADSONCRAIGBROWN AWWMGE: Surgery in its relation to hypertension, Surg., Gynec. and Obst., 1936, lxii, 314-331. Google Scholar4. ALLENADSON EVAW: Comments on the surgical treatment of essential hypertension, Proc. Staff Meet., Mayo Clin., 1937, xii, 588-591. Google Scholar5. ALLENADSON EVAW: The physiological effects of extensive sympathectomy for essential hypertension, Am. Heart Jr., 1937, xiv, 415-427. CrossrefGoogle Scholar6. ALLENLUNDYADSON EVJSAW: Preoperative prediction of effects on blood pressure of neurosurgical treatment of hypertension, Proc. Staff Meet., Mayo Clin., 1936, xi, 401-406. Google Scholar7. ALLENADSON EVAW: Physiologic effects of extensive sympathectomy for essential hypertension; further observations, ANN. INT. MED., 1938, xi, 2151-2171. Google Scholar8. BARKER MH: Symposium on nephritis; the use of cyanates in the treatment of hypertension, Wisconsin Med. Jr., 1937, xxxvi, 28-32. Google Scholar9. FAHR G: Hypertension heart, Am. Jr. Med. Sci., 1928, clxxv, 453-472. CrossrefGoogle Scholar10. FISHBERG AM: Hypertension and nephritis, Ed. 4, 1939, Lea and Febiger, Philadelphia. CrossrefGoogle Scholar11. KEITHWAGENERBARKER NMHPNW: Some different types of essential hypertension; their course and prognosis, Am. Jr. Med. Sci., 1939, cxcvii, 332-343. CrossrefGoogle Scholar12. ALLEN EV: Disease of blood vessels and lymph vessels and abnormalities of blood pressure. In MUSSER, J. H.: Internal Medicine; its theory and practice in contributions by American authors, Ed. 3, 1938, Lea and Febiger, Philadelphia. Google Scholar13. DALEY RM: The health of the executive; a modern problem, Proc. Occupation Disease Symposium, Northwestern University Medical School, 1938. Google Scholar14. GOLDBLATT H: Studies on experimental hypertension. V. The pathogenesis of experimental hypertension due to renal ischemia, ANN. INT. MED., 1937, xi, 69-103. LinkGoogle Scholar15. BROWN GE: Daily and monthly rhythm in blood pressure of a man with hypertension; a three-year study, ANN. INT. MED., 1930, iii, 1177-1189. Google Scholar16. MUELLERBROWN SCGE: Hourly rhythms in blood pressure in persons with normal and elevated pressures, ANN. INT. MED., 1930, iii, 1190-1200. Google Scholar17. ALLENHINES EVEA: Fluctuations of blood pressure, Modern Concepts of Cardiovascular Disease, Vol. 8, no. 11, 1939. Google Scholar18. STIEGLITZ EJ: Bismuth subnitrate in the treatment of arterial hypertension, Jr. Am. Med. Assoc., 1930, xcv, 842-846. CrossrefGoogle Scholar19. AYMAN D: Bismuth subnitrate in the treatment of arteriolar (essential) hypertension, Jr. Am. Med. Assoc., 1932, xcviii, 545-548. CrossrefGoogle Scholar20. LOGEFEIL RC: Observations on the use of potassium sulphocyanate (rhodan) in the treatment of essential hypertension, Minnesota Med., 1929, xii, 151-159. Google Scholar21. AYMAN D: Potassium thiocyanate in the treatment of essential hypertension; its impracticability, Jr. Am. Med. Assoc., 1931, xcvi, 1852-1857. CrossrefGoogle Scholar22. BARKER MH: The blood cyanates in the treatment of hypertension, Jr. Am. Med. Assoc., 1936, cvi, 762-767. CrossrefGoogle Scholar23. GRIFFITHLINDAUER JQMA: Thiocyanate therapy in hypertension including a new micromethod for determining blood thiocyanates, Am. Heart Jr., 1937, xiv, 710-716. CrossrefGoogle Scholar24. WALDLINDBERGBARKER MHHAMH: The toxic manifestations of the thiocyanates, Jr. Am. Med. Assoc., 1939, cxii, 1120-1124. CrossrefGoogle Scholar25. DAVISBARKER LMH: Clinical and experimental experiences in the surgical treatment of hypertension, Ann. Surg., 1939, cx, 1016-1036. CrossrefGoogle Scholar26. AYMAN D: An evaluation of therapeutic results in essential hypertension; the interpretation of symptomatic relief, Jr. Am. Med. Assoc., 1930, xcv, 246-249. CrossrefGoogle Scholar27. ELLIOTT AR: The treatment of high blood pressure, Jr. Am. Med. Assoc., 1915, lxv, 999-1002. CrossrefGoogle Scholar28. MOSCHCOWITZ E: The treatment of hypertension, Am. Jr. Med. Sci., 1920, clix, 517-524. CrossrefGoogle Scholar29. PRINZMETALWILSON MC: Nature of peripheral resistance in arterial hypertension with special reference to vasomotor system, Jr. Clin. Invest., 1936, xv, 63-83. CrossrefGoogle Scholar30. PICKERING GW: Peripheral resistance in persistent arterial hypertension, Clin. Sci., 1936, ii, 209-235. Google Scholar31. STEADKUNKEL EAP: Nature of peripheral resistance in arterial hypertension, Jr. Clin. Invest., 1940, xix, 25-34. CrossrefGoogle Scholar32. LEWIS T: Experiments relating to the peripheral mechanism involved in spasmodic arrest of the circulation in the fingers, a variety of Raynaud's disease, Heart, 1929, xv, 7-101. Google Scholar33. LEWIS T: Observations upon the reactions of the vessels of the human skin to cold, Heart, 1930, xv, 177-208. Google Scholar34. SIMPSONBROWNADSON SLGEAW: Raynaud's disease; evidence that it is a type of vasomotor neurosis, Arch. Neurol. and Psychiat., 1931, xxvi, 687-718. CrossrefGoogle Scholar35. KVALESMITHALLEN WFLAEV: Speed of blood flow in the arteries and in the veins of man, Arch. Surg., 1940, xl, 344-351. CrossrefGoogle Scholar36. ANDERSON IG: The surgical treatment of essential hypertension, Jr. Clin. Med., 1939, iv, 1-25. Google Scholar37. FASCIOLO JC: Hipertensión arterial nefrógena; estudio experimental, Buenos Aires, Editor "El Ateneo," 1939, 161 pp. Google Scholar38. FLOTHOW PG: The surgical treatment of essential hypertension, Am. Jr. Surg., 1939, xliv, 535-543. CrossrefGoogle Scholar39. PAGE IH: The production of persistent arterial hypertension by cellophane perinephritis, Jr. Am. Med. Assoc., 1939, cxiii, 2046-2048. Google Scholar40. PAGEHELMER IHOM: A crystalline pressor substance (angiotonin) resulting from the reaction between renin and renin-activator, Jr. Exper. Med., 1940, lxxi, 29-42. CrossrefGoogle Scholar41. ADSONBROWN AWGE: Malignant hypertension; report of case treated by bilateral section of anterior spinal nerve roots from the sixth thoracic to the second lumbar, inclusive, Jr. Am. Med. Assoc., 1934, cii, 1115-1118. CrossrefGoogle Scholar42. CRILECRILE GG: Blood pressure changes in essential hypertension after excision of the celiac ganglion and denervation of the aortic plexus, Cleveland Clin. Quart., 1936, iii, 268-277. CrossrefGoogle Scholar43. PEET MM: The surgical treatment of hypertension, Jr. Internat. de Chir., 1940, v, 1-40. Google Scholar44. FREYBERGPEET RHMM: The effect on the kidney of bilateral splanchnicectomy in patients with hypertension, Jr. Clin. Invest., 1937, xvi, 49-65. CrossrefGoogle Scholar45. ALLENADSON EVAW: The physiologic effects of extensive sympathectomy for essential hypertension, Am. Heart Jr., 1937, xiv, 415-427. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, Minnesota*Read before the meeting of the American College of Physicians, Cleveland, Ohio, April 2, 1940. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRenal nerve ablation: Emerging role in therapeuticsBehandlung der Verletzungen des RückenmarksAn evaluation of the sodium Amytal sedation test in male hypertensive patientsOperative Eingriffe am Nervensystem bei Erkrankungen des UrogenitalsystemsKlinik und pathologische Anatomie eines Falles von beiderseitiger Sympathektomie nach Smithwick wegen HochdrucksThoracolumbar Sympathectomy for HypertensionDie Erkrankungen des vegetativen SystemsHypertonieThiocyanate in hypertensionSurgical treatment of hypertensive heart disease and of heart failure of hypertensionDie chirurgische Behandlung des HochdruckesSurgical treatment of hypertensionSympathectomy in Peripheral Vascular Disease and HypertensionSympathectomy for hypertensionThe electrocardiogram in hypertensionThe blood pressure in essential hypertension: Effect of several reputedly hypotensive drugsThe Nature of the Pressor and Depressor Factors Derived from the KidneyOrthostatic Hypotension after Sympathectomy in Hypertensives-the Possible Key to the Beneficial Effect of the OperationArterial Hypertension 1 August 1940Volume 14, Issue 2Page: 288-307KeywordsBloodHypertensionNeurosurgery ePublished: 1 December 2008 Issue Published: 1 August 1940 PDF downloadLoading ...