Taggart 1983.
Methods | Three‐mo cross‐over trial; endpoints—"heart failure score," CT ratio, systolic time intervals (LVET, PEP, PEP/LVET) | |
Participants | 22 participants; mean age 65; 64% male; 82% Class II; 95% on diuretics, 9% on beta‐blockers; prior dig Rx in 100%; dx—77% ischemic, 9% valvular | |
Interventions | mean plasma dig level 1.2 ng/mL | |
Outcomes | for dig versus pla, no significant difference in "heart failure score," CT ratio; LVET 388 & 403 msec (P < 0.001), PEP 128 & 138 msec (P < 0.001), PEP/LVET 0.39 & 0.41 (P < 0.02) | |
Notes | blind allocation—yes blinded to outcomes—? baselines comparable—NA loss to follow‐up—? dig titrated to level—no | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Low risk | A—Adequate |
Abbreviations: ET = treadmill exercise time. class = NYHA functional class. EF = ejection fraction. pts = participants. HF = heart failure. dig = digoxin. Rx = treatment. dx = diagnosis. pla = placebo. ACEI = angiotensin‐converting enzyme inhibitors. EX = bicycle exercise. VAS = visual analogue scale. JVP = jugular venous pulse. CT ratio = cardiothoracic ratio. QOL = quality of life. LVED = left ventricular end‐diastolic dimension. FS = fiber‐shortening fraction. Vcf = circumferential fiber shortening velocity. LVET = left ventricular ejection time. PEP = pre‐ejection period.
mo = month.
wk = week.
yr = year. Note: For studies of dig versus pla with additional arms, all data shown are for the dig and pla groups only.