Recovery from Prolonged Renal Failure in Patients with Accelerated Hypertension

Abstract

WHEN oliguric renal failure persists for more than three months, recovery is unlikely, and lifelong hemodialysis is usually required. In the five patients with accelerated hypertension and uremia described below, delayed recovery of renal function occurred, so that maintenance hemodialysis could be discontinued six to 26 months after its initiation.PatientsAll patients were black, their ages ranged from 24 to 59 years, and four patients had diastolic blood pressures above 160 mm Hg. The duration of hypertension ranged from one to 13 years, and treatment with antihypertensive drugs had usually been irregular. All patients had cardiac enlargement, with electrocardiographic . . .