"Cardiac glycosides"-quo vaditis?-past, present, and future?

Naunyn Schmiedebergs Arch Pharmacol. 2024 Dec;397(12):9521-9531. doi: 10.1007/s00210-024-03285-3. Epub 2024 Jul 15.

Abstract

Up to date, digitalis glycosides, also known as "cardiac glycosides", are inhibitors of the Na+/K+-ATPase. They have a long-standing history as drugs used in patients suffering from heart failure and atrial fibrillation despite their well-known narrow therapeutic range and the intensive discussions on their raison d'être for these indications. This article will review the history and key findings in basic and clinical research as well as potentially overseen pros and cons of these drugs.

Keywords: Atrial fibrillation; Cancer; Cardiac glycosides; Digitalis glycosides; Digitoxin; Digoxin; Heart failure; Metabolism; NKA inhibitors; Na+/K+-ATPase; Toxicity.

Publication types

  • Review
  • Historical Article
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atrial Fibrillation / drug therapy
  • Cardiac Glycosides* / pharmacology
  • Cardiac Glycosides* / therapeutic use
  • Digitalis Glycosides / history
  • Digitalis Glycosides / pharmacology
  • Digitalis Glycosides / therapeutic use
  • Heart Failure / drug therapy
  • Heart Failure / history
  • Humans
  • Sodium-Potassium-Exchanging ATPase / antagonists & inhibitors
  • Sodium-Potassium-Exchanging ATPase / metabolism

Substances

  • Cardiac Glycosides
  • Digitalis Glycosides
  • Sodium-Potassium-Exchanging ATPase