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Clinical Notes |

Normal Arterial Pressure in Patients With Renal Arterial Stenosis

Harriet P. Dustan, MD; Alfred W. Humphries, MD; Victor G. de Wolfe, MD; Irvine H. Page, MD
JAMA. 1964;187(13):1028-1029. doi:10.1001/jama.1964.03060260056020.
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EARLY CLINICAL EXPERIENCE with renal arterial stenosis1,2 suggested that the accompanying hypertension was severe and often of the malignant variety. Later, it became apparent that such lesions could be associated with extremely fluctuant arterial pressure levels3,4 and that occasionally hypertension disappeared.5 Sutton and associates,6 and, more recently, Eyler and co-workers7 have reported finding severe renal arterial stenosis in normotensive patients who were investigated because of peripheral vascular disease.

This report describes a study of hypertension and renal arterial stenosis in a group of patients in whom renal arteriograms were obtained incidentally in the course of translumbar aortography for peripheral vascular disease. About 40% were found to have stenosis of one or both main renal arteries, but one half of these were normotensive.

Plan of Study  A review of translumbar aortograms, performed for diagnosis of aorto-iliac occlusive arterial disease since 1953, yielded 149 renal arteriograms of


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