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Today's mini been is here! Role of Digoxin as a Cardiac Drug Digoxin inhibits sodium-potassium ATPase exchange transporter leading to increased intra-cardiac calcium and thus contractility and decreased heart rate. Dr. Luis Verduzco discusses the use of digoxin for chronic heart failure as well as atrial fibrillation rate control. It has a narrow therapeutic index, and its elimination is by the renal route. Its goal concentration is less than 0.9 ng/L and higher risk when hypokalemia (digoxin co
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Learn ECGs Fast | JMD Medical Ed on Instagram: "She’s 78. On digoxin. Comes in dizzy, pulse thready. Heart rate? 38. The ECG prints… and it’s smiling but not in a good way. Look closely. Narrow complexes. Regular. No P waves leading them. That’s not sinus. That’s Junctional Bradycardia. And when you see that slow junctional escape at 100 bpm. Same mechanism different speeds. But the cause? The AV node pacing the heart because the SA node failed or was suppressed. And if your patient’s on digoxin
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