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Article
February 15, 1941

THE TREATMENT OF CONGESTIVE FAILURE IN CHILDREN WITH ACTIVE RHEUMATIC FEVER

Author Affiliations

WASHINGTON, D. C.; BOSTON
From the House of the Good Samaritan, Boston.

JAMA. 1941;116(7):560-562. doi:10.1001/jama.1941.02820070010002
Abstract

During the past three years we have studied the effects of various drugs on the heart and circulation of forty-four children with congestive failure during active rheumatic fever.1 It is our purpose in this report to call attention to the aspects of the therapy of congestive heart failure peculiar to children suffering from this disease.

METHODS OF STUDY  More than 200 patients, mostly children, with congestive failure have been given prolonged care at the House of the Good Samaritan from 1920 to 1940. In a series of 44 consecutive patients with heart failure, all of whom were between 3 and 15 years of age, we were able to compare the influence of certain drugs on the failing heart. The effectiveness of a drug was determined by increase in urinary output, lowering of the venous pressure, decrease in the size of the liver and loss of body weight. The usual

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