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Digoxin Therapy in Acute Heart Failure

  • E. C. Rackow
  • M. I. Griffel
  • M. H. Weil
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 6)

Abstract

The use of digitalis glycosides in the management of acute heart failure remains controversial [1–4]. In 1785, Withering [5] recognized that the narrow therapeutic-toxic dose ratio of cardiac glycosides dictated a firm understanding of the mechanisms of action and toxicities of these drugs on the part of physicians to ensure skillful clinical use. For purposes of this discussion, the term digitalis refers to all of the glycoside compounds that have both inotropic and electrophysiologic effects on the heart. Since the pharmacologic actions of these drugs are basically similar, they are considered as a group with special reference to a few of the cardiac glycosides in widespread clinical use.

Keywords

Acute Myocardial Infarction Acute Myocardial Infarction Acute Heart Failure Pulmonary Artery Wedge Pressure Digitalis Glycoside 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • E. C. Rackow
  • M. I. Griffel
  • M. H. Weil

There are no affiliations available

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