Speakers
Professor Chim Lang Consultant Cardiologist and Clinical Pharmacologist, University of Dundee
Dr Su-Lee Xiao Geriatric Medicine Registrar, London
Learning objectives
- When to use digoxin and why
- Digoxin benefits and limitations
- Identifying digoxin toxicity
- How to address digoxin toxicity in your heart failure patients
- How to monitor digoxin levels
Learning module instructions
This BJC TV Learning module has a recommended award of 1 CPD credit for completion (1 hour of learning). Completion requires a score of at least 75%. If less time is spent learning, then you should claim a reduced credit value. After you have successfully completed the test you will be able to download your certificate.
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Question 1 of 4
1. Question
1. Digoxin inhibits the action of which cellular membrane ion pump/exchanger resulting in increased myocardial contractility?
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Question 2 of 4
2. Question
2. Digoxin also works by slowing the heart rate through a combination of effects. Which of the following involved in this process make it less effective for patients when exercising? Select all that apply
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Question 3 of 4
3. Question
3. Which of the following side effects should one be aware of when using digoxin? Select all that apply
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Question 4 of 4
4. Question
4. Which of the following should be monitored for specifically when prescribing digoxin in older people? Select all that apply
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References
- Belz GG et al. Eur J Clin Invest 2001;31(Suppl 2):S10–S17.
- Digoxin SmPC. 2022 Available at: https://www.medicines.org.uk/emc/product/5465/smpc#gref (accessed February 2024)
- Rehman R, Hai O. Digitalis toxicity. 2023. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459165/ (accessed March 2024)
- Ziff OJ, Kotecha D. Trends Cardiovasc Med 2016;26:585–95.
- Savarese G et al. JACC Heart Fail 2019;7:306–317.
- Wagner L, Kenreigh C. Digoxin. In Enna SJ, Bylund DB (eds). xPharm: The Comprehensive Pharmacology Reference. Elsevier Inc, 2007:1–6.