A Form of Examimtion and Control of the Essential Hypertension

概要

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A Method of examination and control of the essential hypertension which were used at the Hypertensive Clinic Center of the First National Hospital of Tokyo were introduced, for the purpose of deciding of a definite formula of them. Various examinations regarding blood pressure, eye ground, cardiac function, neurocerebral status, and renal function weremade on hypertensive patients. From results of examinations the severity index of the U.S. Veterans Administration (1960 Protocol) was applied to the hypertensive patients and they were divided into three groups, namely, mild, moderate and severe cases. Mild and moderate cases were controled as outpatients with somewhat limitation of their life and diet, with administration of sedatives and antihypertensive drugs among whichChrolothiazide or Reserpin were first drug of choice. Severe cases and young hypertensive patients were admitted to the hospital as a rule for further examinations and treatments of the disease.A prognostic study of the hypertension were made on 748 cases of hypertension, applying the severity index of the Japanese Ministry of Welfare which was established in 1964. Increasing the severity index, the much more mortality rate was revealed.Practical usefulness of these two severity indexes was emphasized, for both primary examination and detailed examination of the hypertension.
一般社団法人国立医療学会の論文