Should digoxin be recommended for a patient , 84 year old male with Atrail Fibrallation, when the blood pressure is in the range of 92/55, heart beat 61/min?
My father recenlty fell, fractured his hip and I have been getting contradicting information about digoxin, since he has low blood pressure and digoxin may not be safe for him..
The link below your post goes to a doctor's explanation where he states digoxin is used to treat irregular heartbeats. I was on digoxin for a few months following my congested heart failue event. It is my understanding the medication is used to increase contractility of the pumping chambers. My medication for stablizing heart rate is a beta blocker (coreg) and an ACE inhibitor.
My research: "Digoxin is contraindicated in patients with ventricular fibrillation. Digoxin should generally be avoided in patients with preserved left ventricular systolic function, although it has been used for ventricular rate control in the subgroup of patients with chronic atrial fibrillation. Cardiovascular side effects have been reported the most frequently. These have included premature ventricular depolarizations (50%), AV nodal arrhythmias (50%), AV conduction disturbances (36%), wide complex tachycardia (less than 1%), paroxysmal atrial tachycardia with AV block, complete heart block, PR prolongation, and ST segment changes".
Some doctors prescribe digoxin for irregular heartbeat, but monitor heart rate and kidney function closely. I hope the digoxin perspective helps you make the right decision. Take care.
Cardiovascular side effects have been reported the most frequently. These have included premature ventricular depolarizations (50%), AV nodal arrhythmias (50%), AV conduction disturbances (36%), wide complex tachycardia (less than 1%), paroxysmal atrial tachycardia with AV block, complete heart block, PR prolongation, and ST segment changes.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.