STUDIES ON DIGITALIS IN AMBULATORY CARDIAC PATIENTS

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Abstract
The production of the full effects of digitalis and the maintenance of these effects for long periods of time constitute two separate problems in the use of digitalis in heart disease. Factors in the use of digitalis that may be of little importance in the treatment of a patient with heart failure in bed under strict nursing supervision for periods of several days or several weeks become of the greatest importance in the treatment after recovery from the failure when the patient is up and about, working, with no one to administer or supervise the daily medication, for periods of from months to years. In the present paper we shall discuss briefly some of these factors and the efforts that have been made to deal with them in the Adult Cardiac Clinic of Bellevue Hospital during the past five years. This division of the subject was not quite so evident

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