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March 14, 1959, Vol 169, No. 11 >

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ARTICLE | March 14, 1959

HEART DISEASE SCREENING IN ELEMENTARY SCHOOL CHILDREN

William Morton, M.D.; Richard C. Arnold, M.D., M.P.H.
JAMA. 1959;169(11):1163-1168. doi:10.1001/jama.1959.03000280015005.
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A screening program for the purpose of estimating the prevalence rates for congenital and rheumatic heart disease was carried out among 6,311 children between the ages of 6 and 11 years. Among 165 children thus identified as requiring further study, a secondary program of examinations was carried out. The abnormalities discovered included 33 cases of congenital and 7 of rheumatic heart disease. The study revealed 29 cases of previously unrecognized cardiac abnormality but also relieved at least 15 children of a false diagnosis of heart disease. It was valuable not only in assuring some children of needed treatment but also in determining the diagnostic value of various physical findings.

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