Physiologic Consequences of Renal Arterial Stenosis

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Abstract
ONCE upon a time, not so very long ago, there were two women — both 35 years old, and both with hypertension of recent onset. One had severe, sustained diastolic hypertension and intense retinal arteriolar constriction with hemorrhages and exudates; the serum potassium was 3.0 mEq per liter. The other had mild labile hypertension, mild retinal arteriolar constriction and a serum potassium of 4.2 mEq per liter. In each, the urogram showed the right kidney to be 1.5 cm shorter than the left. Although the contrast material appeared one minute later in the right kidney, by 10 minutes it was . . .