Abstract
Article1 March 1962Abdominal Murmurs, an Aid in the Diagnosis of Renal Artery Disease in HypertensionROY J. MOSER JR., M.D., JOHN R. CALDWELL, M.D.ROY J. MOSER JR., M.D.Search for more papers by this author, JOHN R. CALDWELL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-56-3-471 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAs early as 1925, Fahr suggested that renal ischemia might be a cause of hypertension in patients with diffuse vascular disease (1). Goldblatt later provided experimental evidence of this important concept in renal artery ligation in dogs (2).In recent years, renal artery lesions frequently have been found in patients with hypertension. Some of these cases featured bruits as the only physical finding pointing to the diagnosis of renal artery aneurysm, renal arteriovenous fistula, or renal artery stenosis (3-5).Sokolow emphasized that a bruit over the upper abdominal aorta, renal arteries, or, less importantly, over the femoral arteries is one...
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