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Congestive Heart Failure (CHF): Digoxin is used in the treatment of congestive heart failure, a condition characterized by the heart's inability to pump blood effectively to meet the body's needs. Digoxin helps improve cardiac output and reduce symptoms of heart failure by increasing the force and efficiency of heart muscle contraction. It also has mild diuretic effects, which can help reduce fluid buildup in the body.
Atrial Fibrillation (AF): Digoxin may be used to control heart rate in individuals with atrial fibrillation, a type of irregular heart rhythm characterized by rapid and chaotic electrical activity in the upper chambers of the heart (atria). By slowing the conduction of electrical impulses through the atrioventricular (AV) node, digoxin helps regulate the heart rate and improve cardiac function in individuals with AF.
Positive Inotropic Effect: Digoxin is a cardiac glycoside that works by inhibiting the sodium-potassium pump (Na+/K+-ATPase) in cardiac muscle cells. This leads to an increase in intracellular calcium levels, which enhances myocardial contractility (positive inotropic effect) and improves cardiac output. The positive inotropic effect of digoxin helps strengthen the force of cardiac contractions, particularly in individuals with weakened heart muscle function.
Negative Chronotropic Effect: In addition to its positive inotropic effects, digoxin also has negative chronotropic effects, meaning it slows the heart rate by prolonging the refractory period of the AV node. This can be beneficial in controlling heart rate in individuals with atrial fibrillation or atrial flutter, where rapid and irregular heart rates may contribute to symptoms such as palpitations, fatigue, and shortness of breath.
Electrolyte Balance: Digoxin's effectiveness and safety are influenced by electrolyte balance, particularly potassium and magnesium levels. Hypokalemia (low potassium) and hypomagnesemia (low magnesium) can increase the risk of digoxin toxicity, while hyperkalemia (high potassium) can reduce its effectiveness. Therefore, electrolyte levels should be monitored regularly in individuals taking digoxin.
Side Effects and Toxicity: Common side effects of digoxin may include nausea, vomiting, loss of appetite, headache, dizziness, visual disturbances (such as blurred or yellow-tinted vision), and arrhythmias. Digoxin toxicity can occur, especially if the medication is taken in excessive doses or if kidney function is impaired, leading to symptoms such as confusion, delirium, bradycardia (slow heart rate), and cardiac arrhythmias.
We extend modifiers to include items that changes the parent and child taxa. I.e. for a species, that would be the genus that is belongs to and the strains in the species.
A higher number indicates impact on more bacteria associated with the condition and confidence on the impact.
We have X bacteria high and Y low reported. We find that the modifier reduces some and increases other of these two groups. We just tally: X|reduces + Y|Increase = Positive β X|increases + Y|decrease = Negative.
Benefit Ratio:
Numbers above 0 have increasing positive effect.
Numbers below 0 have increasing negative effect.