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The tendency for hypertension and arteriosclerosis to occur early in life in patients who have suffered some serious acute infection, whether blood poisoning, typhoid fever, or other, shows that in all probability in these acute illnesses the internal secretions are so disturbed that the suprarenal activity is greater than normal, while the thyroid activity may be less than normal, and hypertension is the consequence.
With 30 million Americans in this category, it has become one of the nation's chief health problems, and it is the predisposing factor in many other diseases such as heart trouble, diabetes, hypertension and atherosclerosis. The plain truth is that you eat too much. We know today that overeating for some is an emotional problem, stemming from feelings of rejection and insecurity.
This hypertension is generally improved under proper treatment. He found that in seriously ill patients this high diastolic pressure is of bad prognosis. He also found that a lower systolic pressure with a lower diastolic pressure is not a sign that the heart is weakening, but only that the visceral tone is growing less.
Any drug or substance that raises the blood pressure by stimulating the vasomotor center or the arterioles, when constantly repeated, will be a cause of hypertension. This is particularly true of caffein and nicotin. Also, anything that might stimulate, or that does stimulate, the suprarenal glands will cause a continued high blood pressure. Pharmacol. and Exper.
Hence nitroglycerin is one of the most valuable drugs that we possess for the treatment of hypertension, and some patients are even benefited by as small a dose as l/500 grain. Int. When there is no kidney lesion a very high systolic pressure falls more under nitroglycerin than does a medium high systolic pressure.
Among those of many observers the conclusions of Ballantyne may be quoted: "The results of sclerectomy vary according to the degree of hypertension of the eye operated on. In cases of high tension, even a simple sclerectomy will allow ample filtration, owing to the gaping of the wound, while in cases without elevation of the tension, sclerectomy will be quite ineffectual.
In rare instances it may occur between 20 and 30, and even in childhood and youth. It is much more frequent in men than in women. Its most common cause is hypertension; in fact, hypertension generally precedes it.
As indican in the urine gives evidence of putrefactive changes in the intestines and the probability of the absorption of toxins from the intestines, although we have no real proof that these toxins are the direct cause of hypertension, our patient is undoubtedly physically better, and will have less arterial tension when this intestinal condition is removed.
Therefore, nicotin becomes a decided cause of hypertension and arteriosclerosis. Thayer found that heavy work is the cause of about two thirds of all cases of arteriosclerosis, and one of the functions of the suprarenals is to destroy the waste products of muscular activity; hence these glands, in these cases, are hypersecreting.
In obese patients with hypertension, in the hypertension of women at the menopause, and in hypertension with insufficient kidneys, thyroid medication is often of great value. Sometimes a small dose of from 0.1 to 0.2 gm.
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