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Correspondence
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Volume 337:129-131 July 10, 1997 Number 2
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Digoxin in Patients with Heart Failure

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 by Packer, M.
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 by Packer, M.
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 by The Digitalis Investigation Group
-PubMed Citation
To the Editor: The report by the Digitalis Investigation Group (Feb. 20 issue)1 on the effect of digitalis on mortality and morbidity in patients with heart failure raises several questions. The Digitalis Investigation Group chose a strategy of discontinuing digoxin in 44 percent of their patients with chronic heart failure who were treated with diuretics, angiotensin-converting–enzyme (ACE) inhibitors, and digoxin. Therefore, a positive bias toward a favorable effect of digoxin may have been introduced because those patients were treated successfully with digitalis. Concomitantly, Packer et al.2 have unequivocally demonstrated that the discontinuation of digoxin is associated with worsening heart failure . . . [Full Text of this Article]

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