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Rarity of hypertensive stigmata in aging renocortical arteries of Bolivians

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Abstract

Numerous reports have accumulated from around the world throughout the twentieth century of small, remote, self-sufficient populations that do not show a rise of blood pressure with age. Knowing that renocortical arteriosclerosis, a defining feature of hypertensive nephrosclerosis, is a close commensurate of blood pressure, it can be predicted that the elderly members of such populations should fail to show arteriosclerosis of hypertensive degree in the renal cortex. Emigrants from such populations sometimes come to medical attention in places like La Paz, Bolivia. Reported here are findings in autopsy samples of kidney tissue examined in La Paz. These samples have revealed remarkably little renovasculopathy at all ages up to 80 years, a phenomenon that has not previously been observed. Because of these findings, it can now be seen as biologically possible for a whole population of elderly persons to avoid renovasculopathy of hypertensive degree, and by implication, perhaps never experience hypertensive cardiovascular disease.

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References

  • Bell ET, Clawson BJ (1928) Primary (essential) hypertension. A study of four hundred and twenty cases. Arch Pathol 5:939–1002

    Google Scholar 

  • Mancilha Carvalho JJ, Baruzzi RG, Howard PF, Poulter N, Alpers MP, Franco LJ, Marcopito LF, Spooner VJ, Dyer AR, Elliott P, Stamler J, Stramler R (1989) Blood pressure in four remote populations in the INTERSALT study. Hypertension 14:238–246

    Google Scholar 

  • Newman WP, Wattigney W, Berenson GS (1991) Autopsy studies in United States children and adolescents. Relationship of risk factors to atherosclerotic lesions. Ann N Y Acad Sci 623:16–25

    Google Scholar 

  • Taboada-Lopes GT, Plazo JO, Flores MC de, Claure ML de, San Martin R (1987) Presion arterial en una poblacion Aymara residente de altura. Salud Boliv 5:45–50

    Google Scholar 

  • Tejada C, Strong JP, Montenegro MR, Restrepo C, Solberg LA (1968) Distribution of coronary and aortic atherosclerosis by geographic location, race, and sex. Lab Invest 18:509–526

    Google Scholar 

  • Tracy RE (1992) Nephrosclerosis from childhood to old age: a viewpoint. Geriatr Nephrol Urol 1:201–211

    Google Scholar 

  • Tracy RE, Toca VT (1974) Nephrosclerosis and blood pressure. I. Rising and falling patterns in lengthy records. Lab Invest 30:20–29

    Google Scholar 

  • Tracy RE, Velez-Duran M, Heigle T, Oalmann MC (1988a) Two variants of nephrosclerosis separately related to age and blood pressure. Am J Pathol 131:270–282

    Google Scholar 

  • Tracy RE, MacLean CJ, Reed DM, Hayashi T, Gandia M, Strong JP (1988b) Blood pressure, nephrosclerosis, and age: autopsy findings from the Honolulu Heart Project. Mod Pathol 1:420–427

    Google Scholar 

  • Tracy RE, Heigle TJ, Velez-Duran M (1989) Evidence for the failure of the Laplace law as a sole explanation for wall thickening of arteries in hypertensive and aging normotensive kidneys. Arch Pathol Lab Med 113:342–349

    Google Scholar 

  • Tracy RE, Berenson G, Wattigney W, Barrett TJ (1990) The evolution of benign arterionephrosclerosis from age 6 to 70 years. Am J Pathol 136:429–439

    Google Scholar 

  • Tracy RE, Bhandaru SY, Oalmann MC, Guzman MA, Newman WP III (1991) Blood pressure and nephrosclerosis in black and white men and women aged 25 to 54. Mod Pathol 4:602–609

    Google Scholar 

  • Tracy RE, Berenson GS, Cueto-Garcia L, Wattigney WA, Barrett TJ (1992a) Nephroscerlosis and aortic atherosclerosis from age 6 to 70 years in the United States and Mexico. Virchows Arch [A] 420:479–488

    Google Scholar 

  • Tracy RE, Malcom GT, Oalmann MC, Qureshi U, Ishii T, Velez-Duran M (1992b) Renal microvascular features of hypertension in Japan, Guatemala, and USA. Arch Pathol Lab Med 116:50–55

    Google Scholar 

  • Tracy RE, Guzman MA, Oalmann MC, Newman WP III (1993) Nephrosclerosis in three cohorts of black and white men born 1925 to 1944, 1934 to 1953, and 1943 to 1962. Am J Hypertens 6:185–192

    Google Scholar 

  • US Vital and Health Statistics (1986) Blood pressure levels in persons 18–74 years of age in 1976–80, and trends in blood pressure from 1960 to 1980 in the United States. National Health Survey Series 11, No. 234, pp 48–53. DHHS Publication (PHS) 86–1684

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Tracy, R.E., Rios-Dalenz, J. Rarity of hypertensive stigmata in aging renocortical arteries of Bolivians. Vichows Archiv A Pathol Anat 424, 307–314 (1994). https://doi.org/10.1007/BF00194616

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  • DOI: https://doi.org/10.1007/BF00194616

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