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Thursday, November 7, 1957
MEDFORD (ORESON) MAIL TRIBUNE THREE
Solving Blood Pressure Problems Seen as Way To Save Many Lives
BY DELOS SMITH
United Press Science Editor
New York IP) A head-on
tcientific attack on all the medi
cal rTblems of high blood pres
sure has been
proposed by a
n ot e d blood
pressure e x
p e r t, on the
grounds that
if those prob
lems were sol
ved, scores of
lives would be
saved every
Delos Smith year.
Dr. I. McD. G. Stewart spoke
especially of blood pressures
which are high but not so high
they have caused any damage
yet or produced any sense of
ill in the persons who contain
them. The lives of many of these
persons could be prolonged, he
said.
He made the following state
ments as facts: (1) death or dis
ability are produced by the dam
age excessive blood pressure pro
duces in arteries and veins, and
not by excessive blood pressure
itself; (2) a reduction of blood
pressure "can delay or arrest"
this damage; (3) "a relatively
slight" reduction might be
enough in most people.
Blocks Nerve' Centers
Right now medical science
throughout the world is employ
ing an effective blood-pressure
reducing weapon in the form of
chemicals which "blocks nerve
centers of the sympathetic ner
vous system. But this weapon is
employed only in persons whose
blood pressure is extremely ex
cessive or has been excessive for
so long, that life-shortening dam
age has been done.
In these severely ill persons,
many of whom have reached
the "malignant" high blood pres
sure stage and svare at death's
door, these chemical weapons
have produced wonders in low
ering pressures, keeping them
down, and so prolonging lif.
Dr. Stewart said they had beon
proven "potent, practical, fcnd
-seasonably predictable."
Then why not use them in &11
persons with only moderately
elevated blood presssure sine
life insurance statistics show
that "any sustained rise of art
erial pressure occurring short of
old age, particularly in men,
presents a grave long-term
threat." There are two main rea
sons why not, he said. One is a
lack of knowledge of how the
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-e
BADGE TURNS UP
Boston m When State
Trooper E. J. Souza stopped a
motorist and asked to see his
registration, Souza was surprised
to see a state trooper's badge
pinned to the driver's wallet.
The motorist said he found the
badge. It developed that the
badge had been lost by a trooper
Concord, Mass., more than a
year previously.
agents work in healthy bodies
against blood pressure that is
high but not very high.
New Control Studies
This is knowledge which medi
cal science needs, and which it
can obtain only in massive "con
trolled" studies everywhere of
the effects of the chemical agents
in more-or-less normal persons.
But at this point Dr. Stewart
encountered his major difficulty
and that big difficulty is people
generally.
Mention blood pressure (if
you are a doctor) to the average
person and the mere mention of
the subject increases his blood
pressure. If you're going to have
a "controlled" study of the
chemical weapons in persons
whose blood pressures are not
elevated by very much, you'll
have to have their cooperation
because you'd have to measure
their pressures repeatedly for a
few weeks. And so you'd have
to tell these persons their blood
pressures.
Dr. Stewart said he was
against telling patients their
blood pressures as of now, but
if the blood pressure problems
were solved, "The whole climate
of professional and private opin
ion" might change and then it
would be possible to tell the
patient about his high blood pres
sure "without inevitably releas
ing a flood of anxiety symp
toms." A British specialist, he made
his proposal in a London lec
ture. That lecture now is being
widely discussed among Ameri
can medical scientists.
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