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Kidney in Essential Hypertension

Proceedings of the Course on the Kidney in Essential Hypertension held at New Orleans, Louisiana, March 18–19, 1983

  • Conference proceedings
  • © 1984

Overview

Part of the book series: Developments in Cardiovascular Medicine (DICM, volume 35)

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Table of contents (19 papers)

  1. The Kidney in the Pathogenesis of Essential Hypertension

  2. The Kidney as a Target Organ in Essential Hypertension

  3. Antihypertensive Treatment and the Kidney

Keywords

About this book

The kidney, similar to the heart, plays a three-fold role in essential hypertension. First, it participates in the patho­ genesis of arterial hypertension. Second, it suffers as a target organ of long-standing hypertension, and third, it experiences the effects of antihypertensive therapy. Perhaps most contested at the present time is the involvement of the kidney in the patho­ genesis of essential hypertension. More than a century ago, William Osler put forward three basic hypotheses about the "genuine contracted kidney. "l 1. "The hypertrophy can be regarded as an effect to overcome a sort of stop-cock action of the vessels when under the influence of an irritating ingredient in the blood greatly contracted and increased the peripheral resistance. " Clearly this hypothesis of an "irritating ingredient" is perhaps the most convincing nowadays, and numerous attempts have been made to identify a specific vasoconstrictive agent in the blood in essential hypertension. 2. "The obliteration of a large number of capillary territories in the kidney materially raised the arterial pressure. An additional factor of dimin­ ished excretion of water also heightened the pressure within the blood vessel. " Today we know that fluid volume overload in the presence of reduced renal mass seems to be the most likely mechanism accoun­ ting for renal parenchymal hypertension and, as shown by Guyton's group, for certain forms of experimental hypertension. 3.

Editors and Affiliations

  • Hemodynamic Laboratory, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, USA

    Franz H. Messerli

  • Tulane University School of Medicine, New Orleans, USA

    Franz H. Messerli

Bibliographic Information

  • Book Title: Kidney in Essential Hypertension

  • Book Subtitle: Proceedings of the Course on the Kidney in Essential Hypertension held at New Orleans, Louisiana, March 18–19, 1983

  • Editors: Franz H. Messerli

  • Series Title: Developments in Cardiovascular Medicine

  • DOI: https://doi.org/10.1007/978-1-4613-3897-0

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Martinus Nijhoff Publishing, Boston 1984

  • Hardcover ISBN: 978-0-89838-616-5Published: 30 November 1983

  • Softcover ISBN: 978-1-4613-3899-4Published: 14 February 2012

  • eBook ISBN: 978-1-4613-3897-0Published: 06 December 2012

  • Series ISSN: 0166-9842

  • Edition Number: 1

  • Number of Pages: XII, 260

  • Topics: Cardiology, Nephrology

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