The Effect of Intravenously Administered Digoxin on Water and Electrolyte Excretion and on Renal Functions

Author:

FARBER SAUL J.1,ALEXANDER J. D.1,PELLEGRINO E. D.1,EARLE D. P.1

Affiliation:

1. From The Department of Medicine, New York University College of Medicine, and Bellevue Hospital, New York City, N. Y.

Abstract

Digoxin causes a prompt and considerable water and salt diuresis in congestive heart failure. This may occur with little or no change in renal hemodynamics, but usually is associated with decreased venous pressure. At times, increased glomerular filtration rate may contribute to the diuresis. In patients with noncardiac edema and without edema, Digoxin may also initiate a slight but definite sodium diuresis. This effect is not as great as in patients with congestive heart failure and apparently is not associated with changes in renal hemodynamics, cardiac output or venous pressure.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference7 articles.

1. 1GOODMIAN L. AND GILMAN A.: The Pharmacological Basis of Therapeutics. New York Macmillan 1941.

2. MICMIICHAEL J.: Circulatory failure studied by means of venous catheterization. Advances in Internal MXledicine. New York Interscience 1947. P. 77.

3. Effects of increased renal venous pressure on renal function;BLAKE W .;Am. J. Phvsiol.,1949

4. ' ICcHNA L. W. FARBER S. J. BERGER A. R. EARLE D. P. PELLEGRINO E.S RADER B. ALBERT R. E. YOUNGWIRTH S. TAUBE. H. AND ALEXANDER J. D.: The cardiovascular and renal effects of intravenously administered digoxin in patients with congestive heart failure. In preparation.

5. GOLDRING W. AND CHASIS H : Hypertension and Hypertensive Disease. New York The Commonwealth Fund 1944. Appendix E pp. 212-215.

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