Table 2.
Effects of continuation of digoxin at low and high serum digoxin concentrations (SDC)
Events / total follow-up years (Rate per 10,000 person-years of follow up) |
Crude hazard ratio (95% confidence interval) |
P value | Adjustd* hazard ratio (95% confidence interval) |
P value | ||
---|---|---|---|---|---|---|
All-cause mortality | Digoxin discontinued, on placebo (N=1674) | 636 / 4823 (1319) |
1 | Reference | 1 | Reference |
Digoxin continued at SDC 0.5–0.9 (N=457) | 148 / 1530 (967) |
0.73 (0.61 – 0.87) |
0.001 | 0.75 (0.63 – 0.90) |
0.002 | |
Digoxin continued at SDC ≥1.0 (N=340) | 153 / 994 (1539) |
1.17 (0.98 – 1.39) |
0.088 | 1.03 (0.86 – 1.12) |
0.580 | |
All-cause hospitalization | Digoxin discontinued, on placebo (N=1674) | 1167 / 2653 (4399) |
1 | Reference | 1 | Reference |
Digoxin continued at SDC 0.5–0.9 (N=457) | 302 / 918 (3290) |
0.79 (0.70 – 0.90) |
<0.0001 | 0.80 (0.70 – 0.91) |
0.001 | |
Digoxin continued at SDC ≥1.0 (N=340) | 236 / 572 (4126) |
0.95 (0.83 – 1.10) |
0.504 | 0.94 (0.88 – 1.01) |
0.102 | |
HF hospitalization | Digoxin discontinued, on placebo (N=1674) | 665 / 3730 (1783) |
1 | Reference | 1 | Reference |
Digoxin continued at SDC 0.5–0.9 (N=457) | 133 / 1321 (1007) |
0.61 (0.50 – 0.73) |
<0.0001 | 0.60 (0.50 – 0.73) |
<0.0001 | |
Digoxin continued at SDC ≥1.0 (N=340) | 114 / 850 (1341) |
0.78 (0.64 – 0.95) |
0.014 | 0.83 (0.76 – 0.92) |
<0.0001 |
Adjusted for age, sex, race, body mass index, duration of heart failure, etiology of heart failure, prior myocardial infarction, current angina, hypertension, diabetes, use of angiotensin-converting enzyme inhibitors, diuretics, potassium supplement, and combination of hydralazine and nitrates, current dyspnea at rest and dyspnea on exertion, activity limitation, NYHA functional class, heart rate, systolic and diastolic blood pressure, elevated jugular venous pressure, third heart sound, pulmonary râles, and lower extremity edema, serum potassium and creatinine, pulmonary congestion and cardiothoracic ratio >0.5 by chest x-ray, and ejection fraction.