Institute of Pharmacology and Toxicology, University of Würzburg, Versbacher Straße 9, 97078, Würzburg, Germany.
Institute of Experimental Cardiovascular Medicine, Faculty of Medicine, University of Freiburg, Elsässer Straße 2Q, 79110, Freiburg, Germany.
Naunyn Schmiedebergs Arch Pharmacol. 2024 Dec;397(12):9521-9531. doi: 10.1007/s00210-024-03285-3. Epub 2024 Jul 15.
Up to date, digitalis glycosides, also known as "cardiac glycosides", are inhibitors of the Na/K-ATPase. They have a long-standing history as drugs used in patients suffering from heart failure and atrial fibrillation despite their well-known narrow therapeutic range and the intensive discussions on their raison d'être for these indications. This article will review the history and key findings in basic and clinical research as well as potentially overseen pros and cons of these drugs.
截至目前,洋地黄类药物,也被称为“强心苷”,是 Na/K-ATPase 的抑制剂。尽管它们的治疗范围很窄,而且在这些适应症方面存在激烈的争论,但它们在心力衰竭和心房颤动患者中的应用历史悠久。本文将回顾这些药物的历史、基础和临床研究中的关键发现,以及可能被忽视的利弊。