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Digoxin, whole body potassium and the electrocardiogram

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Summary

Previous studies have shown a significant linear relationship between the PTQ-index (a combination function of the PR-interval, corrected QT-time and T-wave depression in the ECG) and serum digoxin level in chronically treated patients. The relationship was confirmed in the present study and it was shown that it could be changed by concomitant administration of potassium chloride or furosemide, and that there was marked interindividual variation in response. An inverse linear relationship between PTQ-index and whole body potassium was found during chronic administration of a constant daily dose of digoxin, but no such relationship was found for serum potassium.

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References

  1. Joubert, P. H., Müller, F. O., Pansegrouw, D. F., Kleynhans, P. H. T.: A correlative study of serum digoxin levels and electrocardiographic measurements. S. Afr. Med. J.49, 1177–1181 (1975)

    Google Scholar 

  2. Joubert, P., Kroening, B., Weintraub, M.: Serial serum digoxin concentrations and quantitative electrocardiographic changes. Clin. Pharmacol. Ther.18, 757–760 (1975)

    Google Scholar 

  3. Joubert, P. H., Aucamp, B. N., Müller, F. O.: Digoxin concentrations in serum and saliva: relationship to ECG changes and dosage in healthy volunteers. Br. J. Clin. Pharmacol.3, 1053–1056 (1976)

    Google Scholar 

  4. Joubert, P., Kroening, B., Weintraub, M., Fleckenstein, L.: Correlation between electrocardiographic changes, serum digoxin, and total body digoxin content. Clin. Pharmacol. Ther.20, 676–681 (1976)

    Google Scholar 

  5. Belz, G. G., Rudofsky, G., Belz, G.: Plasma levels of cardiac glycosides and the electrocardiogram during moderately rapid and slow digitalization with β-methyl-digoxin in normal volunteers. Dtsch. Med. Wochenschr.99, 329–332 (1974)

    Google Scholar 

  6. Belz, G. H., Nübling, H., Stauch, M.: Wirkungen und Plasmaspiegel von Methyloproscillaridin und β-acetyldigoxin nach Daueranwendung am Menschen. Verh. Dtsch. Ges. Kreislaufforsch.41, 315–319 (1975)

    Google Scholar 

  7. Belz, G. G., Schreiter, H., Wolf, G. K.: Pharmacokinetics and pharmacodynamics of methyl proscillaridin in healthy man. Europ. J. Clin. Pharmacol.10, 101–108 (1976)

    Google Scholar 

  8. Moe, G. K., Farah, A. E.: Cardiovascular drugs. In: The pharmacological basis of therapeutics. Goodman, L. S., Gilman, A. (eds.), p. 666–671. New York, Toronto, London: Macmillan 1975

    Google Scholar 

  9. Müller, F. O., Jansen van Rijssen, F. W., Iturralde, M. P., Van Reenen, O. R., Malan, J., Joubert, P. H.: Influence of digoxin, furosemide and potassium chloride on potassium balance in man. (in preparation)

  10. Van Reenen, O. R., Lötter, M. G., Minnaar, P. C., Iturralde, M.: Calibration and measurement of Potassium-40 with a whole body counter. S. Afr. Med. J.48, 2482–2485 (1974)

    Google Scholar 

  11. McAllister, R. G., Howell, S. M., Gomer, M. S., Selby, J. B.: Effect of intravenous furosemide on the renal excretion of digoxin. J. Clin. Pharmacol.16, 110–117 (1976)

    Google Scholar 

  12. Malcolm, A. D., Leung, F. Y., Fuchs, J. C. A., Duarte, J. E.: Digoxin kinetics during furosemide administration. Clin. Pharmacol. Ther.21, 567–571

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Joubert, P.H., Müller, F.O., Jansen van Rijssen, F.W. et al. Digoxin, whole body potassium and the electrocardiogram. Eur J Clin Pharmacol 14, 101–104 (1978). https://doi.org/10.1007/BF00607439

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  • DOI: https://doi.org/10.1007/BF00607439

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