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地高辛是一种过时的药物吗?

Is digoxin a drug of the past?

作者信息

Pervaiz Mohammad Hassan, Dickinson Michael G, Yamani Mohamad

机构信息

Department of Medicine, Michigan State University, East Lansing 44824, USA.

出版信息

Cleve Clin J Med. 2006 Sep;73(9):821-4, 826, 829-32 passim. doi: 10.3949/ccjm.73.9.821.

DOI:10.3949/ccjm.73.9.821
PMID:16970134
Abstract

Digoxin has been the cornerstone of the treatment of heart failure for more than 2 centuries. Now that newer therapies have been introduced that reduce the mortality rate in heart failure and recent trials have failed to prove the same for digoxin, its use has significantly decreased. But a careful review of the multiple pharmacologic actions of digoxin and closer analysis of the results of recent trials suggest that digoxin may in fact continue to be an effective treatment for heart failure.

摘要

两个多世纪以来,地高辛一直是治疗心力衰竭的基石。鉴于已引入了能降低心力衰竭死亡率的新疗法,且近期试验未能证明地高辛有同样效果,其使用已大幅减少。但仔细审视地高辛的多种药理作用并深入分析近期试验结果表明,地高辛实际上可能仍是治疗心力衰竭的有效药物。

相似文献

1
Is digoxin a drug of the past?地高辛是一种过时的药物吗?
Cleve Clin J Med. 2006 Sep;73(9):821-4, 826, 829-32 passim. doi: 10.3949/ccjm.73.9.821.
2
Digoxin.地高辛
Prog Cardiovasc Dis. 2002 Jan-Feb;44(4):251-66. doi: 10.1053/pcad.2002.31591.
3
Use of digoxin for heart failure and atrial fibrillation in elderly patients.地高辛在老年患者心力衰竭和心房颤动中的应用。
Am J Geriatr Pharmacother. 2010 Oct;8(5):419-27. doi: 10.1016/j.amjopharm.2010.10.001.
4
Digoxin.
Prescrire Int. 2017 Apr;26(181):107.
5
Review: Digoxin does not affect all-cause mortality but reduces hospital admissions.综述:地高辛不影响全因死亡率,但可减少住院次数。
Ann Intern Med. 2015 Dec 15;163(12):JC11. doi: 10.7326/ACPJC-2015-163-12-011.
6
Digoxin and mortality: lessons for observational studies.地高辛与死亡率:观察性研究的经验教训
Br J Clin Pharmacol. 2016 Jan;81(1):4-5. doi: 10.1111/bcp.12791. Epub 2015 Nov 20.
7
Optimal digoxin concentrations for patients with heart failure.
JAMA. 2003 May 28;289(20):2643; author reply 2643-4. doi: 10.1001/jama.289.20.2643-a.
8
Trials are best, ignore the rest: safety and efficacy of digoxin.试验是最佳选择,其他一概忽略:地高辛的安全性与疗效
BMJ. 2015 Aug 30;351:h4662. doi: 10.1136/bmj.h4662.
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Digoxin.地高辛
Br J Hosp Med. 1997;58(7):321-3.
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Digoxin - don't dismiss it just yet.地高辛——先别急着摒弃它。
Eur J Cardiovasc Nurs. 2017 Aug;16(6):464-465. doi: 10.1177/1474515115612272. Epub 2015 Oct 13.

引用本文的文献

1
A Comprehensive Review on Unveiling the Journey of Digoxin: Past, Present, and Future Perspectives.关于揭开地高辛历程的全面综述:过去、现在和未来展望
Cureus. 2024 Mar 23;16(3):e56755. doi: 10.7759/cureus.56755. eCollection 2024 Mar.
2
Digoxin and Standard-of-Care Therapy for Heart Failure Patients with COVID-19: Analysis of Data from the US Military Health System (MHS) Data Repository.地高辛与COVID-19心力衰竭患者的标准治疗:来自美国军事卫生系统(MHS)数据存储库的数据分析
Drugs Real World Outcomes. 2023 Jun;10(2):299-307. doi: 10.1007/s40801-023-00360-8. Epub 2023 Mar 18.
3
A New Method for Individualized Digoxin Dosing in Elderly Patients.
老年患者地高辛个体化给药的新方法。
Drugs Aging. 2016 Apr;33(4):277-84. doi: 10.1007/s40266-016-0346-5.
4
Digoxin inhibits PDGF-BB-induced VSMC proliferation and migration through an increase in ILK signaling and attenuates neointima formation following carotid injury.地高辛通过增加整合素连接激酶(ILK)信号传导来抑制血小板衍生生长因子-BB(PDGF-BB)诱导的血管平滑肌细胞(VSMC)增殖和迁移,并减轻颈动脉损伤后的新生内膜形成。
Int J Mol Med. 2015 Oct;36(4):1001-11. doi: 10.3892/ijmm.2015.2320. Epub 2015 Aug 21.
5
Intermittent low-dose digoxin may be effective and safe in patients with chronic heart failure undergoing maintenance hemodialysis.对于接受维持性血液透析的慢性心力衰竭患者,间歇性小剂量地高辛可能有效且安全。
Exp Ther Med. 2014 Dec;8(6):1689-1694. doi: 10.3892/etm.2014.2013. Epub 2014 Oct 9.
6
Efficiency of individual dosage of digoxin with calculated concentration.根据计算浓度确定的地高辛个体化剂量的疗效
Clin Interv Aging. 2014 Jul 22;9:1205-10. doi: 10.2147/CIA.S63596. eCollection 2014.
7
Emergency department visits and hospitalizations for digoxin toxicity: United States, 2005 to 2010.因地高辛中毒急诊就诊和住院治疗:美国,2005 年至 2010 年。
Circ Heart Fail. 2014 Jan;7(1):28-34. doi: 10.1161/CIRCHEARTFAILURE.113.000784. Epub 2013 Dec 3.
8
Characterization of the mechanisms of the increase in PPARδ expression induced by digoxin in the heart using the H9c2 cell line.利用 H9c2 细胞系鉴定地高辛诱导心脏中 PPARδ 表达增加的机制。
Br J Pharmacol. 2011 May;163(2):390-8. doi: 10.1111/j.1476-5381.2011.01212.x.
9
The assessment of renal function in relation to the use of drugs in elderly in nursing homes; a cohort study.养老院中老年人用药与肾功能评估:一项队列研究。
BMC Geriatr. 2011 Jan 11;11:1. doi: 10.1186/1471-2318-11-1.
10
Risk of digoxin intoxication in heart failure patients exposed to digoxin-diuretic interactions: a population-based study.心力衰竭患者暴露于地高辛-利尿剂相互作用时的地高辛中毒风险:一项基于人群的研究。
Br J Clin Pharmacol. 2010 Aug;70(2):258-67. doi: 10.1111/j.1365-2125.2010.03687.x.