Galassi A, Mangiameli S, Circo A
Minerva Med. 1981 Jul 31;72(29):1945-9.
Digitalis combines a longstanding tradition with constant up-to-dateness. Kinetic maintenance therapy is very often required for heart patients with arrhythmia as one of their most striking clinical manifestations. The well-known questions of paroxystic tachycardia, flutter and atrial fibrillation are examined, and attention is concentrated on ventricular extrasystole, sinoatrial node disease, and Wolff-Parkinson-White syndrome. It is clear that combinations with recently introduced antiarrhythmic drugs, and administration of diuretics and electrolytes, and the employment of electrical stimulation have facilitated the long-term treatment of the chronic arrhythmic heart patient and brought about the better utilisation of digitalic substances. Their arrhythmogenic potential, however, cannot be overlooked.
洋地黄融合了悠久的传统与不断的时效性。对于心律失常作为最显著临床表现之一的心脏病患者，常常需要进行动态维持治疗。文中探讨了阵发性心动过速、扑动和心房颤动等常见问题，并将注意力集中在室性期前收缩、窦房结疾病和预激综合征上。显然，与最近引入的抗心律失常药物联合使用、利尿剂和电解质的给药以及电刺激的应用，都有助于慢性心律失常心脏病患者的长期治疗，并更好地利用洋地黄类药物。然而，它们的致心律失常潜力也不容忽视。
