Abstract
In presenting a study of 1,438 children with rheumatic heart disease whom I have had the privilege to observe at three convalescent homes outside New York City over a period of twenty years, I am mindful of the pitfalls one encounters in the analysis of records and figures and realize that any conclusions arrived at must be suggestive rather than final. Figures can often be misleading but if properly evaluated may suggest trends and help to set up an index for the formulation of criteria. My hope is that this intensive and specialized care of rheumatic children over two decades will serve to point a way toward more adequate care for these handicapped children and thus throw some light on one of the most dread diseases of childhood that still remains so obscure. Because of its high mortality in the early years of life and its crippling of boys and

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