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Cardiac glycoside

Cardiac glycosides are drugs used in the treatment of congestive heart failure (CHF) or cardiac arrhythmia, by inhibiting the Na+/K+ pump. This inhibition increases the amount of Ca++ ions available for contraction and improves cardiac output and reduces distention of the heart.

Cardiac glycosides are extracted from plant material :

It has an antiarrhythmic effect by prolonging the refractory period of the AV node (Atrio-ventricular), reducing the number of impulses reaching the ventricles. Cardiac output is restored but atrial fibrillation or atrial flutter are not abolished.