Neurocirculatory asthenia (anxiety neurosis, effort syndrome, neurasthenia) is a common disorder, possibly occurring in 5 per cent of the population. 1 Although it has been the subject of many reports, including recent ones from this laboratory emphasizing physiologic abnormalities, 2 there is little information in the literature concerning the course of the disorder in patients who have been followed for a period of years. Since there were available from the files of one of us (P. D. W.) records of many patients with such a diagnosis at least twenty years ago, it was possible to do a follow-up study, the purpose of which was to learn more about the course of neurocirculatory asthenia and the state of health of these patients over the years and, in addition, to learn some facts about their psychologic and social adjustment, the diseases they had and the number and manner of their deaths. METHODS

NEUROCIRCULATORY ASTHENIA (ANXIETY NEUROSIS, EFFORT SYNDROME, NEURASTHENIA): A Twenty Year Follow-Up Study of One Hundred and Seventy-Three Patients

Hypertension and urologic disease.

In a patient with hypertension temporally related to unilateral hydronephrosis the kidney disorder appeared to be a complication of abdominal pregnancy. Renal arterial disease and urinary-tract infection were excluded as contributing causes for the hypertension. Renal-vein catheterization demonstrated greatly increased activity of the renin-angiotensin system in the kidney affected by hydronephrosis. Corrective ureteral surgery resulted in cure of hypertension, with restoration of normal renal pressor activity. Early diagnosis and treatment are common factors shared by this case with the few reported cases in which hypertension associated with hydronephrosis has been alleviated by surgery.

Renal-Pressor Hypertension Secondary to Unilateral Hydronephrosis

https://www.amjmed.com/article/0002-9343(48)90485-9/pdf

Consideration of human hypertension with respect to its renal origin and therapy.

ANATOMY, PHYSIOLOGY AND METHODS Beginning with the thesis that there must be full agreement between the structure and the function of the heart, Robb and Robb 1 have briefly, yet cogently, correlated the results of certain anatomic and physiologic studies. They point out that anatomists have repeatedly demonstrated that the ventricles of mammalian hearts are made up of discrete muscle bands and that the origin, the course and the attachments of these separate muscles are also fairly well known. These views, however, are not compatible with the assumption, held by many investigators, that the whole heart is one syncytium. If this were absolutely true, the Robbs point out, the findings of the anatomists would have to be considered artefacts. Further proof of the view that the cardiac musculature is indeed composed of distinct muscles is seen in (1) the specific functions of the several ventricular muscles, (2) the individual blood

Diseases of the heart: a review of significant contributions made during 1942

Unilateral Renal Disease and Renal Vascular Changes in Relation to Hypertension in Man

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Unilateral Renal Disease and Renal Vascular Changes in Relation to Hypertension in Man