(Circulation. 1966;33:781.)
© 1966 American Heart Association, Inc.
Correlation of the Pressor Activity of the Renal Venous Effluent with Excretory Function and Other Tests in Focal, Parenchymal, and Vascular Renal Disease
JOHN J. MCPHAUL JR. USAF MC1;
DUNCAN A. MCINTOSH USAF MC1;
LESTER F. WILLIAMS USAF MC1;
EMIL J. GRITTI USAF MC1;
ARTHUR GROLLMAN M.D., PH.D.1
1 From the Departments of Medicine and Surgery, Wilford Hall USAF Hospital, Aerospace Medical Division (AFSC), Lackland Air Force Base, San Antonio, Texas, and the Department of Experimental Medicine, University of Texas Southwestern Medical School, Dallas, Texas.
A series of 170 hypertensive patients suspected of suffering from renovascular disease have been subjected to various tests designed to identify the presence of a surgically remediable lesion.
The presence of a pressor agent in the renal venous effluent, as determined by bioassay on the rat, has proven to be an accurate method for detecting the presence of renovascular hypertension responsive to surgical treatment. Split-function excretory tests, aortography, and other tests used for this purpose could not be relied on as the sole criterion as to whether surgical intervention is indicated in a given patient.