Postmortem digoxin tissue concentration and organ content in infancy and childhood

The concentration of digoxin in tissues and the content of the drug in various organs are reported in 36 infants and children. Sixteen received the drug on a short-term basis and 20 on a long-term basis. The drug was given intravenously to 12, orally to 17, and by intramuscular injection to 7. The s...

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Veröffentlicht in:The American journal of cardiology 1983-08, Vol.52 (3), p.330-335
Hauptverfasser: Hastreiter, Alois R., Van Der Horst, Ronald L.
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container_title The American journal of cardiology
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creator Hastreiter, Alois R.
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description The concentration of digoxin in tissues and the content of the drug in various organs are reported in 36 infants and children. Sixteen received the drug on a short-term basis and 20 on a long-term basis. The drug was given intravenously to 12, orally to 17, and by intramuscular injection to 7. The study was conducted to determine distribution of digoxin in infants and children and to examine the forensic implications related to digoxin overdosage. Upper therapeutic concentration thresholds for digoxin were established in various tissues. These are different for preterm and full-term neonates than for older children and adults; for example, adult and neonatal values for postmortem blood specimens are 8 and 15 ng/ml, and for ventricular myocardium are 250 and 450 ng/g, respectively. The chronically digitalized premature infant retains in most tissues a considerably larger fraction of digoxin than more mature infants and children. This is in accord with previously demonstrated lower renal digoxin levels in premature infants attributed to their reduced ability to excrete this drug.
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Child
Child, Preschool
Digoxin - analysis
Forensic Medicine
Heart Failure - drug therapy
Heart Failure - mortality
Humans
Infant
Infant, Newborn
Infant, Premature
Tissue Distribution
title Postmortem digoxin tissue concentration and organ content in infancy and childhood
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