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Palliative Pearl:

Palliative Pearls – Dust off the Digoxin

February 2021 –When palliating heart failure with difficult to control atrial fibrillation, remember our old friend digoxin.

Consider Mr. Jones: His atrial fibrillation is marginally controlled but he can no longer tolerate any rate-controlling medications that lower his blood pressure, as he is falling with significant orthostatic hypotension.

Digoxin may improve quality of life and we find it a better choice for these patients when standing blood pressures are low.

Further reading:

Mark S. Link, MD reviewing Kotecha D et al. JAMA 2020 Dec 22/29 Curfman G. JAMA 2020 Dec 22/29

Digoxin was equivalent to a beta-blocker for quality of life in patients with AF and heart failure.

For more information contact Dr. Leslie Estep or Dr. Anita Meyer at Hospice of the Northwest, 360-814-5550, or  or  ameyer@hospicenw.or

About Hospice of the Northwest

Hospice of the Northwest is a skilled, caring and compassionate team of nursing, medical, social and spiritual professionals, volunteers and generous donors. Together, we provide comprehensive care and comfort for patients facing serious illness and the loved ones who care for them. We’ve been serving the residents of Skagit, Island, San Juan and Snohomish Counties since 1989.

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