Document Detail


Effect of digoxin on left ventricular contractility in newborns and infants estimated by echocardiography.
MedLine Citation:
PMID:  759184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In view of the known susceptibility of newborns to digoxin intoxication this study was undertaken in order to evaluate the effect of a relatively low digoxin dose on left ventricular contractility of newborn infants. Left ventricular ejection time, enddiastolic diameter and endsystolic diameter were measured by echocardiography before digitalization as well as between 2 and 4 h after the first digoxin dose (group 1 : 16 patients) or after full digitalization (group 2 : 12 patients). From these data, shortening fraction (SF) and mean velocity of fiber shortening (mean Vcf) were calculated. We found that SF and mean Vcf increased significantly in both groups after the first digoxin dose and after full digitalization. The increase was equal in newborns and infants. The mean plasma digoxin concentration after full digitalization was 2.2 ng/ml (range 0.7--4.4 ng/ml). These results demonstrate clearly the positive inotropic effect of a relatively low digoxin dose in newborns.
Authors:
R Hofstetter; D Lang; G von Bernuth
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardiology     Volume:  9     ISSN:  0301-4711     ISO Abbreviation:  Eur J Cardiol     Publication Date:  1979 Jan 
Date Detail:
Created Date:  1979-03-13     Completed Date:  1979-03-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404054     Medline TA:  Eur J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  1-11     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Cardiac Output / drug effects
Child
Digoxin / pharmacology*,  therapeutic use
Drug Administration Schedule
Echocardiography
Heart Failure / drug therapy*
Humans
Infant
Infant, Newborn
Myocardial Contraction / drug effects*
Stimulation, Chemical
Chemical
Reg. No./Substance:
20830-75-5/Digoxin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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