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December 3, 1977BMJOpen Access

Doxorubicin cardiotoxicity: possible role of digoxin in its prevention.

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Why the study?

Does digoxin prevent doxorubicin-induced cardiotoxicity in patients with gynaecological cancers receiving high doses of doxorubicin?

Population

n=29 patients with gynaecological cancers who received over 400 mg of doxorubicin

Comparison

Digoxin (n=17) or ouabain (n=6) vs No cardiac glycoside (n=6)

Design

Cohort

Authors

DGDavid GuthrieAgricultural Research ServiceAGAnn L. GibsonUniversity of New Mexico

Discussion

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Implication

May support digoxin to reduce doxorubicin ECG changes; leaves open need for randomized confirmation before practice change.

Structured PICO

Does digoxin prevent doxorubicin-induced cardiotoxicity in patients with gynaecological cancers receiving high doses of doxorubicin?

P
Population
n=29 patients with gynaecological cancers who received over 400 mg of doxorubicin
I
Intervention
Digoxin (n=17) or ouabain (n=6)
C
Comparator
No cardiac glycoside (n=6)
O
Outcome
Electrocardiographical changes and development of cardiomyopathysafety

Digoxin may prevent doxorubicin-induced electrocardiographical changes and cardiomyopathy in patients receiving high cumulative doses of doxorubicin.

Cite This Study

Guthrie et al. (1977) studied this question.

synapsesocial.com/papers/6a76298df1e99ff85ab2407chttps://doi.org/10.1136/bmj.2.6100.1447
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Doxorubicin Cardiotoxicity1978 · 95 citations
  2. 2Cardiotoxicity of doxorubicin: Causes, diagnosis, consequences and possibilities of prevention2022 · 1 citations
  3. 3Exacerbation of doxorubicin cardiotoxicity by digoxin administration in an experimental rabbit model1990 · 13 citations
  4. 4Concurrent Therapies That Protect Against Doxorubicin-Induced Cardiomyopathy2004 · 17 citations
  5. 5Doxorubicin cardiotoxicity may be caused by its metabolite, doxorubicinol.1988 · 356 citations