尽管近年来出现降低心脏前、后负荷以治疗充血性心力衰竭(CHF)的新疗法,但在治疗老年CHF中洋地黄仍不失其重要地位。单独应用地高辛或与利尿剂合用,均能增加心输出量,缓解CHF症状。但是,对于老年病人,尤其是年龄超过75岁者,必须谨慎用药,因为洋地黄治疗指征的范围狭窄,具有潜在的致命毒性。因此对老年病人应用洋地黄时,需要充分了解其时机和剂量。用药前注意事项 CHF是具有不同病因的综合征,并非所有CHF病人对强心甙(片)治疗均有良好效果。例如,动脉粥样硬化性心脏病是老 Despite the recent emergence of new therapies that reduce pre-and post-cardiac load for the treatment of congestive heart failure (CHF), digitalis remains an important player in the treatment of elderly CHF. Digoxin alone or with diuretics, can increase cardiac output, relieve symptoms of CHF. However, for older patients, especially those over the age of 75 years, care must be taken because of the narrow range of indications for digitalis and potentially lethal toxicity. Therefore, the application of digitalis in elderly patients, you need to fully understand the timing and dosage. Precautions before treatment CHF is a syndrome with different causes, not all patients with CHF on cardiac glycosides (tablets) have a good effect. For example, atherosclerotic heart disease is old