It again seems of interest to present a summary of our results at the Children's Heart Hospital of Philadelphia in caring for children who have been admitted threatened with or suffering from cardiovascular damage as a result of rheumatic fever. A previous report1 presented data from the Children's Heart Hospital for the period June 1922 to January 1932. The present review is a study of the cases seen between June 1922 and June 1937.
People in the United States assumed an early role in the institutional care of children with heart disease and have established a number of institutions, among them the House of the Good Samaritan (Boston), the Irvington House on the Hudson (New York), Sunset Camp (Bartlett, Ill.), Ridge Farm (St. Louis) and the Children's Heart Hospital (Philadelphia). England, under a nationwide system, has made remarkable progress in developing resources for the care of children with heart