THE INCIDENCE OF HYPERTENSION IN PORTAL CIRRHOSIS: A STUDY OF 80 NECROPSIED CASES OF PORTAL CIRRHOSIS
Authors: S D SPATT, P ROSENBLATT
Journal: Annals of Internal Medicine (1949)

Article1 September 1949THE INCIDENCE OF HYPERTENSION IN PORTAL CIRRHOSIS: A STUDY OF 80 NECROPSIED CASES OF PORTAL CIRRHOSISSAMUEL D. SPATT, M.D., PHILIP ROSENBLATT, M.D.SAMUEL D. SPATT, M.D.Search for more papers by this author, PHILIP ROSENBLATT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-31-3-479 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is the general impression of many physicians that hypertension occurs much less frequently in patients with portal cirrhosis than in the general population. This impression receives some support from the statement in Oxford Medicine1 that "in portal cirrhosis, the pulse is slightly quickened, the blood pressure, both arterial and venous, usually is low," and the statement in the book by Rolleston and McNee2 that "the blood pressure is low when the disease is active." However, there are not many references in the literature dealing specifically with the subject of hypertension in portal cirrhosis.In 1943, Kirshbaum and Shure3stated,...Bibliography1. CHRISTIAN HA, Editor: Oxford medicine, Vol. 5, Part I, p. 374. Google Scholar2. ROLLESTONMCNEE HJW: Diseases of the liver, gall bladder and bile ducts, 1929, Macmillan and Co., Ltd., London, pp. 264 and 573. Google Scholar3. KIRSHBAUMSHURE JDN: Alcoholic cirrhosis; clinical and pathological study of 356 fatal cases selected from 12,267 necropsies, Jr. Lab. and Clin. Med., 1943, xxviii, 721. Google Scholar4. BOUCHUTFROMENTGRASSET LR: Etat du système cardio-vasculaire dans la cirrhose éthylique du foie, Lyon méd., 1937, clx, 3. Google Scholar5. MASTERMARKSDACK AMHHS: Hypertension in people over 40, Jr. Am. Med. Assoc., 1943, cxxi, 1251. CrossrefGoogle Scholar6. ROBINSONBRUCER SCM: The range of normal blood pressure, Arch. Int. Med., 1939, lxiv, 409. CrossrefGoogle Scholar7. WILBOURNECECCOLINI MEM: Incidence of hypertension in 25,000 army examinees, Army Med. Bull., 1943, p. 118. Google Scholar8. BELL ET: Renal diseases, 1946, Lea and Febiger, Philadelphia, pp. 315 and 316. Google Scholar9. DALEYUNGERLEIDERGUBNER RMHERS: Prognosis in hypertension, Jr. Am. Med. Assoc., 1943, cxxi, 383. CrossrefGoogle Scholar10. FISHBERG AM: Hypertension and nephritis, 1930, Lea and Febiger, Philadelphia, p. 141. Google Scholar11. : Nomenclature and criteria for diagnosis of diseases of the heart, 4th Edition, 1939, p. 19. Google Scholar12. KEMPNER W: Treatment of kidney disease and hypertensive vascular disease with the rice diet, North Carolina Med. Jr., 1944, v, 125. Google Scholar13. LICHTMAN SS: Diseases of the liver, 1942, Lea and Febiger, Philadelphia, p. 220. Google Scholar14. GOODMANGILMAN LA: The pharmacological basis of therapeutics, 1941, The Macmillan Co., New York, p. 795. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, New York*Received for publication March 11, 1948.From the Department of Laboratories, Jewish Hospital of Brooklyn. 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