realize some of the things, at least, that must be done to decrease
the pressure. Consequently, the very things that are advised or
ordered give the patient the diagnosis, whether he is told directly
or not. Hence, we must talk freely with the patient, much as we do
in heart defects, and get his cooperation, stating how frequent the
condition is, how often it is readily improved, and how little it
may interfere with long life.

Wiener and Wolfner [Footnote: Wiener, Meyer, and Wolfner, M. L.: A
Reaction of the Pupil, Strongly Suggestive of Arteriosclerosis with
Increased Blood Pressure, THE JOURNAL A. M. A., July 17, 1915, p.
214.] state that they have found with blood pressure that the pupils
of the eyes are larger than normal, and that they readily contract
to the stimulus of light, but immediately return to their previous
size.


PROGNOSIS

Janeway [Footnote: Janeway, T. C.: A Clinical Study of Hypertensive
Cardiovascular Disease, Arch. Int. Med., December, 1913, p. 755.]
presented statistics of 458 patients with high blood pressure, 67
percent of whom were men. Of these 458 patients 212 had died, and he
found that the women with high blood pressure lived longer than men
with high blood pressure. They did not seem as likely to have
apoplexy or cardiac failure. About 85 percent of high tension cases
occur between the ages of 40 and 70.

While he believes that a systolic pressure of over 160 mm. is
pathologic, he does not find that any definite prognostic