Sandouk P, Scherrmann J M, Galliot M, Bourdon R
Presse Med. 1986;15(27):1273-5.
Digoxin, digitoxin and acetyldigitoxin are the most widely prescribed of cardiotonic glycosides. Analytical exploration can be performed by a single assay when only one compound is prescribed or by multiple assays in cases of imprecise prescription or when several glycosides are given concomitantly. In addition, the metabolic transformation of digitoxin into digoxin and the presence of endogenous "digitalis-like compounds" mean that a number of precautions must be taken during prescription. These examples underline the ambiguity of the so-called "digitalinaemia" prescriptions and the need for biologists to be supplied with maximum information by clinicians.
地高辛、洋地黄毒苷和乙酰洋地黄毒苷是最常用的强心苷类药物。当仅开具一种化合物时,可通过单一测定进行分析探索;而在处方不明确或同时给予多种苷类药物的情况下,则需进行多种测定。此外,洋地黄毒苷向地高辛的代谢转化以及内源性“洋地黄样化合物”的存在意味着在开处方时必须采取一些预防措施。这些例子凸显了所谓“洋地黄血症”处方的不明确性,以及临床医生向生物学家提供最大信息量的必要性。