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November 1, 1994Clinical Physiology

Effect of physical activity on the day‐to‐day variation in serum digoxin concentration

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Why the study?

Does complete bed rest compared to normal daily activity affect steady-state serum digoxin concentration in elderly digoxin-treated outpatients?

Population

10 digoxin-treated outpatients (61-81 years of age)

Comparison

Complete bed rest for 10 hours after ingestion… vs Normal daily activity

Design

Other

Follow-up

24 hours

Authors

MEMagnus EdnerHeart Failure & TransplantTJTomas JogestrandPoliclinico Umberto I

Discussion

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Implication

Supports flexible pre-sampling activity for digoxin monitoring in elderly outpatients; leaves open confirmation in larger studies.

Structured PICO

Does complete bed rest compared to normal daily activity affect steady-state serum digoxin concentration in elderly digoxin-treated outpatients?

P
Population
10 digoxin-treated outpatients (61-81 years of age)
I
Intervention
Complete bed rest for 10 hours after ingestion of the daily maintenance digoxin dose
C
Comparator
Normal daily activity
O
Outcome
Steady-state serum digoxin concentration (24 hours after the last dose)surrogate

Standardization of physical activity 1-2 hours before blood sampling is adequate when analyzing serum digoxin concentration in elderly outpatients, as everyday physical activity variations do not significantly affect steady-state levels.

Cite This Study

Edner et al. (1994) studied this question.

synapsesocial.com/papers/6a8994d2af65c378f7fd464fhttps://doi.org/10.1111/j.1475-097x.1994.tb00419.x

Topics

Atrial fibrillationPersistent AF management
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1DifFerences in serum digoxin concentrations between outpatients and inpatients: An effect of compliance?1974 · 43 citations
  2. 2Determination of Therapeutic and Toxic Serum Digoxin Concentrations by Radioimmunoassay1969 · 585 citations
  3. 3Digoxin Metabolism in the Elderly1969 · 259 citations
  4. 4Effect of physical exercise on the digoxin concentrations in skeletal muscle and serum in man1981 · 30 citations