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February 16, 1929


JAMA. 1929;92(7):517-518. doi:10.1001/jama.1929.02700330001001

Organic acquired heart disease in the child is one of childhood's diseases in which practically no progress has been made in alleviation or cure in the past forty years, which covers the time that I have been actively engaged in the practice of pediatrics; and this in spite of the establishment of associations for the study of heart disease in children, in cardiac clinics and cardiac homes. I do not discredit in any sense the effort to improve the condition of the child who has heart disease, but when our best has been accomplished, the patient still has a defective organ with all that it implies. Our prophylactic attempts have rested largely in the eradication of apparently infected foci, but this is no insurance against heart disease, as all who treat children on any considerable scale are aware. If every child from the third to the tenth year of age

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