SURGICAL TREATMENT OF HYPERTENSION (RESULTS IN FIFTY-FOUR CASES)
Authors: Elmer C. Bartels, James L. Poppen, Robert L. Richards
Journal: Annals of Internal Medicine (1942)

Article1 November 1942SURGICAL TREATMENT OF HYPERTENSION (RESULTS IN FIFTY-FOUR CASES)ELMER C. BARTELS, M.D., F.A.C.P., JAMES L. POPPEN, M.D., ROBERT L. RICHARDS, M.D.ELMER C. BARTELS, M.D., F.A.C.P.Search for more papers by this author, JAMES L. POPPEN, M.D.Search for more papers by this author, ROBERT L. RICHARDS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-17-5-807 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the last 10 years 54 patients with hypertension have been operated upon at the Lahey Clinic. Sufficient time has elapsed to justify an evaluation of the results to date in all of these cases. The effectiveness of surgery in some cases of hypertension has been reported by Allen and Adson,1 Crile,2 Peet3 and others. As we cannot predict with certainty the ultimate outcome of surgery in individual cases, a more accurate method of selection remains to be discovered.The first patient was operated upon in 1931. Up to the early part of 1935, fourteen patients were submitted to operation...Bibliography1. ALLENADSON EVAW: The treatment of hypertension: Medical versus surgical, ANN. INT. MED., 1940, xiv, 288-307. Google Scholar2. 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 Scholar3. PEETWOODSBRADEN MMWWS: The surgical treatment of hypertension, Jr. Am. Med. Assoc., 1940, cxv, 1875-1885. CrossrefGoogle Scholar4. KEITHWAGENERBARKER NMHPNW: Some different types of essential hypertension: Their course and prognosis, Am. Jr. Med. Sci., 1939, cxcvii, 332-343. CrossrefGoogle 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 December 4, 1941.†Grading according to Keith, Wagener and Barker.4Grade 1—Mild hypertension which is normal at bed rest. Slight sclerosis of retinal vessels.Grade 2—Moderate, fluctuant hypertension which remains above normal at rest and under sedation. Moderate sclerosis of retinal vessels.Grade 3—Moderate to severe hypertension with little fluctuation. Sclerosis of retinal vessels with angiospastic retinitis.Grade 4—Persistently high blood pressure. Marked sclerosis of retinal vessels with diffuse retinitis and edema of optic disks. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHypertonieHypertonieShould Sympathectomy for Arterial Hypertension Be Abandoned?: Review of Surgical Therapy at the Lahey Clinic: 1950-1954The effect of splanchnic resection on the peripheral blood flow and rectal and skin temperatures in hypertensionThe Aetiology of Essential Hypertension 1 November 1942Volume 17, Issue 5Page: 807-811KeywordsEdemaHypertensionPrimary hypertensionRetinal vesselsRetinitisSedationSurgery ePublished: 1 December 2008 Issue Published: 1 November 1942 PDF downloadLoading ...