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Editorial
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Volume 342:1042-1043 April 6, 2000 Number 14
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Renal Angioplasty for Lowering Blood Pressure

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 by van Jaarsveld, B. C.
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The great economist Joseph Schumpeter regarded creative destruction as an indispensable element of economic progress. In a similar vein, the report by van Jaarsveld et al.1 in this issue of the Journal furthers medical progress by doing away with past dogmas on atherosclerotic renal-artery stenosis. The authors report the results of the largest study performed so far to compare the effects of percutaneous transluminal renal angioplasty and (if necessary) antihypertensive-drug therapy with antihypertensive-drug therapy alone with respect to hypertension and renal function in patients with atherosclerotic renal-artery stenosis. The negative results confirm those of two similar but smaller randomized trials.2,3 . . . [Full Text of this Article]

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