The cardiovascular sections of the Medical Processing Unit and of the Station Hospital of the San Antonio Aviation Cadet Center, San Antonio, Texas, examined during a number of months approximately 45,000 men who were taking the Army 64 examination for flying. These examinees, between the ages of 18 and 27 years inclusive, were for the most part candidates for aircrew training. All of them had been subjected to at least one screening examination. In spite of this, 100 of them were found to have rheumatic valvular heart disease. Some had been examined routinely as many as twelve times in the course of their military service. Only 11 of this group knew of the presence of a heart murmur while in civilian life.
METHOD OF EXAMINATION
After experimenting with several methods, we found the following procedure to be the best suited to the careful examination of large numbers of men in
DELANEY JH, MILLER SI, KIMBRO RW, BISHOP LF. VALVULAR HEART DISEASE: PREVIOUSLY UNRECOGNIZED IN MILITARY MEDICAL EXAMINATIONS. JAMA. 1943;123(14):884–886. doi:10.1001/jama.1943.02840490012004
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