AN APPRAISAL OF CERTAIN TESTS FOR THE DETECTION OF HYPERTENSION OF UNILATERAL RENAL ORIGIN
Authors: S T REVELL, F J BORGES, G ENTWISLE, J D YOUNG
Journal: Annals of Internal Medicine (1960)

Article1 November 1960AN APPRAISAL OF CERTAIN TESTS FOR THE DETECTION OF HYPERTENSION OF UNILATERAL RENAL ORIGINSAMUEL T. R. REVELL JR., M.D., FRANCIS J. BORGES, M.D., GEORGE ENTWISLE, M.D., JOHN D. YOUNG JR., M.D.SAMUEL T. R. REVELL JR., M.D., FRANCIS J. BORGES, M.D., GEORGE ENTWISLE, M.D., JOHN D. YOUNG JR., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-53-5-970 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptUnilateral renal disease may give rise to a reversible form of severe arterial hypertension.1-5 The prevalence of such lesions is unknown, and there is no reliable method for screening hypertensive patients for such correctable disease. A number of tests have been developed to aid in the solution of this problem, and the following report summarizes our experience with such tests.REVIEW OF THE TESTS1.Differential Renal Excretion of Urine and Its Sodium Concentration:In 1956 Howard et al.4reported that a significant reduction in urine volume and its sodium concentration from one kidney as compared to that obtained simultaneously...Bibliography1. Butler AM: Chronic pyelonephritis and arterial hypertension, J. Clin. Investigation 16: 889, 1937. CrossrefMedlineGoogle Scholar2. Smith HW: Unilateral nephrectomy in hypertensive disease, J. Urol. 76: 685, 1956. CrossrefMedlineGoogle Scholar3. Poutasse EF: Occlusion of a renal artery as a cause of hypertension, Circulation 13: 37, 1956. CrossrefMedlineGoogle Scholar4. HowardConnorThomas JETBWC: A functional test for detection of hypertension producted by one kidney—preliminary studies, Tr. A. Am. Physicians 69: 291, 1956. MedlineGoogle Scholar5. ConnorBerthrongThomasHoward TBMWCJE: Hypertension due to unilateral renal disease—with a report on a functional test helpful in diagnosis, Bull. Johns Hopkins Hosp. 100: 241, 1957. MedlineGoogle Scholar6. PoutasseHumphriesMcCormackCorcoran EFAWLJAC: Bilateral stenosis of renal arteries and hypertension. Treatment by arterial homografts, J. A. M. A. 161: 419, 1956. CrossrefMedlineGoogle Scholar7. SmithRushEvans PGTWAT: The technique of translumbar arteriography, J. A. M. A. 148: 255, 1952. CrossrefMedlineGoogle Scholar8. BrustFerris AAEB: The diagnostic approach to hypertension due to unilateral kidney disease, Ann. Int. Med. 47: 1049, 1957. LinkGoogle Scholar9. Winter CC: Unilateral renal disease and hypertension. Use of the radioactive Diodrast renogram as a screening test, J. Urol. 78: 107, 1957. CrossrefMedlineGoogle Scholar10. Winter CC: A clinical study of a new renal function test: the radioactive Diodrast renogram, J. Urol. 76: 182, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Received for publication May 9, 1960.From the Department of Medicine and the Division of Urology, University of Maryland School of Medicine, and the University Hospital, Baltimore, Maryland.†This work was supported in part by National Institutes of Health Research Grant No. H-3242 (C1) and Training Grant No. HTS-5348.Requests for reprints should be addressed to Samuel T. R. Revell, Jr., M.D., Division of Hypertension and Renal Diseases, University Hospital, Baltimore 1, Maryland. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHypertension in a 74-year-old man with hydronephrosis and coronary disease.Curable Hypertension with Unilateral Hydronephrosis Studies on the Role of Circulating ReninPETER WEIDMANN, M.D., CARLO BERETTA-PICCOLI, M.D., DAVID HIRSCH, M.D., FRANCOIS C. REUBI, M.D., SHAUL G. MASSRY, M.D., F.A.C.P.Unilateral ureteric obstructionQuantitative Analysis of the Third Segment of the Renogram and its Application for the Detection of Urinary Tract Obstruction and Renal Arterial ConstrictionRenal-Pressor Hypertension Secondary to Unilateral HydronephrosisDie IsotopennephrographieDie renal-vasculäre HypertonieAngiotensin infusion test in hypertensionREFERENCESRenal hemodynamics and metabolism in chronic experimental renal ischemia, with and without hypertension, and their alteration by ganglionic blocking agentsRecent advances in hypertensionDas urologische HaftpflichtgutachtenRecurrent Hypertension in a Patient with Chronic Aortoiliac Thrombosis and Renal Artery Obstruction Successfully Treated on Two Occasions by Partial NephrectomyLEONARD SCHERLIS, M.D., F.A.C.P., YU-CHEN LEE, M.D.AnnotationsAn Evaluation of Treatment of Hypertension Associated with Occlusive Renal Arterial DiseaseExcretory Urography in the Diagnosis of Renovascular hypertension: Methods of Enhancing its ValueUnilateral renal disease and hypertensionAbdominal Murmurs, an Aid in the Diagnosis of Renal Artery Disease in HypertensionROY J. MOSER JR., M.D., JOHN R. CALDWELL, M.D.Reversible renal hypertension 1 November 1960Volume 53, Issue 5Page: 970-991KeywordsAttentionExcretionHospital medicineHypertensionPatientsRenal diseasesResearch grantsSodiumUrineUrology ePublished: 1 December 2008 Issue Published: 1 November 1960 PDF downloadLoading ...