TY  - JOUR
T1  - CArdiac enlargement in uncomplicated mitral insufficiency in children
AU  - MILLER JH, WEDUM BG
Y1  - 1949/11/01
N1  - 10.1001/archpedi.1949.02030050720007
JO  - American Journal of Diseases of Children
SP  - 703
EP  - 707
VL  - 78
IS  - 5
N2  - 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
SN  - 0096-8994
M3  - doi: 10.1001/archpedi.1949.02030050720007
UR  - http://dx.doi.org/10.1001/archpedi.1949.02030050720007
ER  -