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ARTICLE |

Blood Pressure in Patients With Spinal Cord Injury

Calvin M. Kunin, MD
Arch Intern Med. 1971;127(2):285-287. doi:10.1001/archinte.1971.00310140113015.
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A survey was conducted among 152 adult male paraplegic and quadriplegic patients known to have chronic urinary tract infection. Many had x-ray film evidence of renal involvement, but few had elevated serum creatinine levels. Elevated blood pressure was rare in these patients. Review of the literature confirms this finding, but emphasizes the major role of hypertension and pyelonephritis in those who die as a result of the spinal cord injury. It would appear that hypertension is a late manifestation of severe pyelonephritis and amyloidosis. These results may explain why it has been difficult to clearly associate bacteriuria (which is very common in the general population) with hypertension, but relatively easy to detect bacteriuria among hypertensive patients. Prevention of hypertension remains an important goal for patients with recurrent or persistent urinary tract infections.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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