PEDIATRICS Vol. 32 No. 4 October 1963, pp. 757-768
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THE USE OF THE WORKING CAPACITY TEST IN THE EVALUATION OF CHILDREN WITH CONGENITAL HEART DISEASE

Edward R. Duffie Jr. M.D.1 and Forrest H. Adams M.D.1

1 The Department of Pediatrics, University of California, Los Angeles School of Medicine

A safe, simple and effective method of objectively measuring the functional capacity of children with congenital heart disease is now available. This study shows that as a group, these children have a decreased working capacity. The reduction is most marked in those patients with severe obstructive lesions, pulmonary hypertension or cyanosis. A comparison of pre- and post-operative working capacities in a small group of children shows that the majority improved following corrective surgery. There are apparently other factors involved than anatomic repair of the defects, however. The working capacity test provides a means whereby objective evidence of the functional results of surgery can be evaluated.