Papers And Originals

Maintenance Digoxin in Elderly Patients

Br Med J 1970; 2 doi: https://doi.org/10.1136/bmj.2.5711.705 (Published 20 June 1970) Cite this as: Br Med J 1970;2:705
  1. John L. C. Dall

    Abstract

    Digitalis glycosides remain the cornerstone of treatment in cardiac failure. The increasing frequency of toxic effects is a cause for concern. Review of 80 elderly patients receiving digoxin on a maintenance basis, some of whom had toxic effects, shows that in almost three-quarters of the group digoxin was stopped without detriment. Elderly patients on maintenance treatment should be reviewed, and in the absence of a known primary cardiac lesion an attempt should be made to withdraw digoxin.