Jespersen B A, Kristensen I B
Aarhus Universitet, Retsmedicinsk Institut.
Ugeskr Laeger. 1992 Aug 24;154(35):2372-3.
A case of untreated hypertension in a patient, where blood pressure could be measured in the right arm only is presented. At autopsy, the brachio-cephalic artery was found to be occluded explaining why blood pressure values were low. Significant left ventricular hypertrophy indicating high central blood pressure was found. Sudden death followed a spontaneous intracerebral bleeding. The value of conventional blood pressure measurement in patients with arteriovenous shunt because of chronic dialysis is discussed.
本文介绍了一例未经治疗的高血压患者，该患者仅能测量右臂血压。尸检发现头臂动脉闭塞，这解释了血压值为何较低。同时发现显著的左心室肥厚，提示中心血压较高。患者因自发性脑出血后猝死。本文还讨论了因慢性透析导致动静脉分流的患者常规血压测量的价值。
