Paumgartner G
Schweiz Med Wochenschr. 1976 Jul 3;106(27):909-11.
The concentration of digitalis glycosides in serum may serve as a useful guide in adjusting digitalis glycoside dosage to individual needs. Radio-immunological determination of digoxin is mainly indicated when patients with renal failure, hypothyroidism or hyperthyroidism or elderly subjects are treated with digoxin, when signs of digitalis intoxication are present or when patient compliance has to be assessed. However, factors which alter myocardial sensitivity to digitalis glycosides must be considered in the interpretation of serum concentrations of digitalis glycosides.
血清中洋地黄苷的浓度可作为根据个体需求调整洋地黄苷剂量的有用指导。当肾衰竭、甲状腺功能减退或亢进患者、老年患者接受地高辛治疗时,当出现洋地黄中毒迹象时,或当必须评估患者依从性时,主要采用放射免疫法测定地高辛。然而,在解释洋地黄苷的血清浓度时,必须考虑改变心肌对洋地黄苷敏感性的因素。