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Old 05-14-2012
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Drug Digoxin query from kaplan medicine

Quote:
Digoxin is only effective for rate control at rest and
therefore should be used mainly in patients with systolic heart failure.
wat does this mean?
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Old 05-14-2012
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Digoxin alone may not adequately control heart rate in people with active lifestyles (idont know why exactly) and is less effective for rate control than beta blockers or calcium channel blockers
systolic dysfunction is not dependent on slowing the HR (contrast to dyastolic), it depend on increasing contractility. and since digoxin has Positive Inotropic > being Negative chronotropic, therefore it fit best those pt with AF who need both MORE power AND are inactive so just choose it when there's AF with EF<40%

Last edited by bisho; 05-14-2012 at 08:09 AM.
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Old 05-14-2012
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i also Add the pt with systolic dysfuntion are INACTIVE cuz they can't tolerate exercise like others with different heart condition
PUMP IS BROKEN DUDE
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