0
October 1986, Vol 140, No. 10 >
Article | October 1986

Digoxin Therapy in the Fetus-Reply

JAMES W. HIGGINS, MD
Am J Dis Child. 1986;140(10):975. doi:10.1001/archpedi.1986.02140240020016.
Text Size: A A A
Published online
Article
References
Comments

In Reply.—Drs De Lia and Emery raise some questions about the conclusions drawn from our study. I would agree that there is a lack of pharmacokinetic data on the use of digoxin during pregnancy. However, we cited the article by Saarikoski1 because it provides valuable data on the equilibration of intravenous digoxin in the human fetus. De Lia and Emery cite the article by Fouron, which describes the dynamics of the placental transfer of digoxin in a dog model. Saarikoski1 shows that equilibration appears to begin within a few minutes of infusion in the mother and is attained in fetal blood within 30 minutes, far less time than that cited by De Lia and Emery. In addition, the traditional treatment of choice of supraventricular tachycardia in infants and children is intravenous digoxin with a median time of conversion to sinus rhythm of six hours.2 This supports

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs

More Listings at
JAMACareerCenter.com >

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems