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I. Pulmonary Arterial Hypertension: What Every Physician Needs To Know. Pulmonary arterial hypertension (PAH) is a disorder specific to the pulmonary arteries, resulting in an increase in pulmonary artery pressure (PAP), and pulmonary vascular resistance (PVR), leading to right ventricular (RV) dysfunction, right heart failure, and death. Pulmonary hypertension (PH) refers to elevated pressure in…

General Digoxin is an old drug, perhaps ancient by some standards. It is a purified cardiac glycoside extracted from the purple foxglove (digitalis purpurea) plant. Trade names for digoxin include Lanoxin, Digitek, and Lanoxicaps. It is also a generic medication. Digoxin has been used in patients with atrial fibrillation and congestive heart failure for decades…

I. Heart Failure: What every physician needs to know. Heart failure prevalence continues to increase. Currently over 6 million Americans have heart failure. This is partly related to aging of the population; better care of acute cardiovascular diseases, where now patients survive but with poor cardiac function; and also the worsening risk factor profile in…