Kidney in Essential Hypertension (eBook)

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

Franz H. Messerli (Herausgeber)

eBook Download: PDF

2012
Springer US (Verlag)
978-1-4613-3897-0 (ISBN)

Infos

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 "e;genuine contracted kidney. "e;l 1. "e;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. "e; Clearly this hypothesis of an "e;irritating ingredient"e; 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. "e;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. "e; 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.

Produkt-Details

• Erscheint lt. Verlag: 6.12.2012
• Sprache: englisch
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Kardiologie / Angiologie
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Nephrologie
• ISBN-10: 1-4613-3897-2 / 1461338972
• ISBN-13: 978-1-4613-3897-0 / 9781461338970