Other Articles
September 1926


Author Affiliations

From the department of pediatrics of the Johns Hopkins University School of Medicine, and the Harriet Lane Home of the Johns Hopkins Hospital, Baltimore. Read before the American Pediatric Society, Niagara Falls, Canada, May 31, 1926.

Am J Dis Child. 1926;32(3):373-383. doi:10.1001/archpedi.1926.04130090050007

Digitalis is often believed to be ineffectual in the treatment of cardiac disease in children. The most probable explanation for this belief is that the doses commonly used have been too small, for McCulloch and Rupe1 have demonstrated that both normal children and those suffering from heart disease require from 10 to 100 per cent more digitalis per pound of body weight than do adults before electrocardiographic or other signs of digitalization are produced. Our studies of twenty-six children suffering from severe myocardial failure confirm this report, and lead us to the conclusion that even larger doses are beneficial in causing a loss of edema and an increase in the patient's comfort. Digitalis will not, of course, repair the myocardial damage, but a comparison between the fate of children treated with the drug and that of those who did not receive it would seem to indicate that the administration

First Page Preview View Large
First page PDF preview
First page PDF preview