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Digoxin in paroxysmal atrial fibrillation

Authoring team

The use of digoxin in paroxysmal atrial fibrillation is detrimental, resulting in longer and more frequent episodes.

Furthermore, the heart rate during a paroxysm of atrial fibrillation is poorly controlled by digoxin. Therefore the use of digoxin in the management of paroxysmal atrial fibrillation is better avoided (1,2).

Reference:

  • (1) The Digitalis Investigation Group (1997). The effect of digoxin on mortality and morbidity in patients with heart failure. NEJM, 336, 25-33.
  • (2) British Heart Foundation (Factfile 7/2001). The use of digoxin.

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