Withdrawal of maintenance digoxin from institutionalized elderly.
نویسنده
چکیده
Chronic use of digitalis is common amongst the institutionalized elderly. Associated with digitalis use is the potential for toxicity and/or adverse reactions. In this study maintenance digoxin was withdrawn from 14 elderly nursing home residents in sinus rhythm. Subjects were followed over 18 months for evidence of dysrhythmia or heart failure. One resident had an episode of supraventricular tachycardia which required digoxin to be restarted. One resident developed left heart failure, treated with oral diuretic. For 12 of the 14 residents, withdrawal of maintenance digoxin was achieved without deleterious effect. This study suggests that maintenance digoxin may be withdrawn safely in elderly nursing home residents in sinus rhythm and without history of atrial dysrhythmia.
منابع مشابه
Effect of digoxin on exercise performance in mildly symptomatic patients with idiopathic dilated cardiomyopathy and sinus rhythm.
The purpose of this investigation was to evaluate the effect of digoxin on aerobic performance in mildly symptomatic patients with congestive heart failure and sinus rhythm. Ten patients (8 men and 2 women) with idiopathic dilated cardiomyopathy (ejection fraction 17 to 33%, mean 27 +/- 4%) who were stable and mildly symptomatic with maintenance digoxin and diuretic therapy were studied. All pa...
متن کاملComputer-assisted review of digoxin therapy in the elderly.
Current practice with digoxin was assessed in a group of 42 elderly patients by comparing plasma digoxin concentrations attained on previously established maintenance doses with those generated by a computer programme designed to calculate dosage schedules to suit individual patients. Discrepancies between measured and computed plasma levels and between established and computed doses dictated w...
متن کاملOn the Clinical Use of Digitalis on the Clinical Use of Digitalis with Reference to Its Prescription, Maintenance Therapy, Intoxication and the Patient's Knowledge
On the Clinical Use of Digitalis with reference to its prescription, maintenance therapy, intoxication and the patient's knowledge. Kurt Boman, M.D., Departments of Internal and Geriatric Medicine Skellefteå Hospital and Institution of Internal Medicine, University of Umeå, S-901 87 Umeå, Sweden. Digitalis is one of the most frequently prescribed drugs, especially to elderly people. The prescri...
متن کاملMaintenance digoxin in elderly patients.
Digitalis glycosides remain the cornerstone of treatment in cardiac failure. The increasing frequency of toxic effects is a cause for concern. Review of 80 elderly patients receiving digoxin on a maintenance basis, some of whom had toxic effects, shows that in almost three-quarters of the group digoxin was stopped without detriment. Elderly patients on maintenance treatment should be reviewed, ...
متن کاملAcquired colour vision deficiency in patients receiving digoxin maintenance therapy.
BACKGROUND/AIMS Disturbances of colour vision are a frequently reported sign of digoxin toxicity. The aim of this study was to investigate the incidence of acquired colour vision deficiency in elderly hospitalised patients receiving maintenance digoxin therapy. METHODS 30 patients (mean age 81.3 (SD 6.1) years) receiving digoxin were tested using a battery of colour vision tests (Ishihara, AO...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Postgraduate medical journal
دوره 67 788 شماره
صفحات -
تاریخ انتشار 1990