We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Prophylactic and Therapeutic Use of Digitalis in Open-Heart Operations

AMA Arch Surg. 1960;80(5):860-863. doi:10.1001/archsurg.1960.01290220152019.
Text Size: A A A
Published online


Physicians have long debated the advisability of giving digitalis as a prophylaxis against cardiac failure which may occur in connection with the stress of general surgical operations. While there is agreement as to its benefits for the failing heart, in the nonfailing heart it has often been considered not only useless but even harmful. The problem has recently been brought into sharper focus by the widespread use of cardiotomy for correction of intracardiac defects, especially when such physical trauma to the myocardium is accompanied by the metabolic insult of induced cardiac arrest.

We have recently demonstrated the beneficial effects of digitalis in experimental animals subjected to periods of induced cardiac arrest.6 With 30 minutes of potassium cardioplegia in dogs, there is profound depression of ventricular function.15 The digitalized canine heart arrested with potassium citrate is subsequently able to perform more than 19.5 grammeters stroke work in response to


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.