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Digitalis Withdrawal in Elderly Nursing Home Patients
Author(s) -
Wilkins Charles E.,
Khurana Manbir S.
Publication year - 1985
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1985.tb05438.x
Subject(s) - digoxin , medicine , digitalis , sinus rhythm , nursing homes , rhythm , normal sinus rhythm , anesthesia , cardiology , heart failure , atrial fibrillation , nursing
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. J Am Geriatr Soc 33:850, 1985