老年疗养院患者停用洋地黄

Digitalis withdrawal in elderly nursing home patients.

作者信息

Wilkins C E, Khurana M S

出版信息

J Am Geriatr Soc. 1985 Dec;33(12):850-1. doi: 10.1111/j.1532-5415.1985.tb05438.x.

DOI:10.1111/j.1532-5415.1985.tb05438.x

Abstract

Nursing home patients were studied to determine the usefulness of a maintenance dose of digoxin in elderly patients with normal sinus rhythm. Of 64 patients, 26 were identified to be on digoxin. Thorough history and physical examination were done on all the patients. Baseline electrocardiogram showed normal sinus rhythm in 19 patients, who were observed very closely for the period of four months after withdrawal of digoxin. Eighteen of 19 patients did well without digoxin, which suggests that most of the elderly nursing home patients with normal sinus rhythm do not need a maintenance dose of digoxin.

摘要

对养老院患者进行了研究，以确定维持剂量的地高辛对窦性心律正常的老年患者是否有用。在64名患者中，有26名被确定正在服用地高辛。对所有患者都进行了全面的病史询问和体格检查。基线心电图显示19名患者窦性心律正常，在停用洋地黄后的四个月内对他们进行了密切观察。19名患者中有18名在未服用地高辛的情况下情况良好，这表明大多数窦性心律正常的老年养老院患者不需要维持剂量的地高辛。