Document Detail


Reevaluation of digitalis efficacy. New light on an old leaf.
MedLine Citation:
PMID:  6375498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Use of digitalis for the treatment of patients with congestive heart failure and sinus rhythm remains controversial. To ascertain the proper therapeutic role of digitalis, we have critically appraised the published clinical evidence of digitalis efficacy using standardized methodologic criteria. A search of the English literature from 1960 to 1982 identified 736 articles, of which 16 specifically addressed the clinical evaluation of digitalis therapy for patients with congestive heart failure and sinus rhythm. Only two double-blind, placebo-controlled trials provided clinically useful information. One study showed that digoxin therapy could be withdrawn successfully in elderly patients with stable congestive heart failure. The other showed that patients with chronic heart failure and an S3 gallop benefited from digoxin therapy.
Authors:
C D Mulrow; J R Feussner; R Velez
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Publication Detail:
Type:  Clinical Trial; Journal Article; Review    
Journal Detail:
Title:  Annals of internal medicine     Volume:  101     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  1984 Jul 
Date Detail:
Created Date:  1984-07-17     Completed Date:  1984-07-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  113-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Digitalis*
Digitalis Glycosides / administration & dosage,  therapeutic use*
Digoxin / therapeutic use
Diuretics / therapeutic use
Drug Therapy, Combination
Heart Failure / drug therapy*
Humans
Plants, Medicinal*
Plants, Toxic*
Pulmonary Heart Disease / drug therapy
Research Design
Chemical
Reg. No./Substance:
0/Digitalis Glycosides; 0/Diuretics; 20830-75-5/Digoxin

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


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