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CARDIAC ENLARGEMENT IN UNCOMPLICATED MITRAL INSUFFICIENCY IN CHILDREN

CARDIAC ENLARGEMENT IN UNCOMPLICATED MITRAL INSUFFICIENCY IN CHILDREN THE criteria for the diagnosis of mitral insufficiency, as set forth by the New York Heart Association,1 require the presence of enlargement of the heart in addition to a systolic murmur at the apex. In the opinion of some clinicians, this requirement of cardiac enlargement does not apply to children2 or young adults.3 The present paper reports further evidence on this matter from observations on 1,971 children seen in consultation during the first two years of operation of the Denver Area Rheumatic Fever Diagnostic Service (1944 to 1946). METHODS The record of each child was coded, using the punch card method of the International Business Machine Corporation. Two hundred and twenty-six of the 1,971 children examined had rheumatic heart disease. One hundred and sixty-four of the 226 had mitral insufficiency; 58 of this group also had mitral stenosis, aortic stenosis, aortic insufficiency, tricuspid insufficiency or pericarditis. An http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American journal of diseases of children American Medical Association

CARDIAC ENLARGEMENT IN UNCOMPLICATED MITRAL INSUFFICIENCY IN CHILDREN

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0096-8994
eISSN
1538-3628
DOI
10.1001/archpedi.1949.02030050720007
Publisher site
See Article on Publisher Site

Abstract

THE criteria for the diagnosis of mitral insufficiency, as set forth by the New York Heart Association,1 require the presence of enlargement of the heart in addition to a systolic murmur at the apex. In the opinion of some clinicians, this requirement of cardiac enlargement does not apply to children2 or young adults.3 The present paper reports further evidence on this matter from observations on 1,971 children seen in consultation during the first two years of operation of the Denver Area Rheumatic Fever Diagnostic Service (1944 to 1946). METHODS The record of each child was coded, using the punch card method of the International Business Machine Corporation. Two hundred and twenty-six of the 1,971 children examined had rheumatic heart disease. One hundred and sixty-four of the 226 had mitral insufficiency; 58 of this group also had mitral stenosis, aortic stenosis, aortic insufficiency, tricuspid insufficiency or pericarditis. An

Journal

American journal of diseases of children – American Medical Association

Published: Nov 1, 1949

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