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Acetyldigitoxin is cardiac glycoside and an inhibitor of the Na+/K+ ATPase with an IC50 value of 5 nM in isolated rat pinealocytes.1 This inhibition results in loss of the transmembrane Na+ gradient, which decreases activity of the Na+/Ca2+ exchanger, increasing intracellular calcium levels, inotropy, and cardiac force.2,3 Formulations containing acetyldigitoxin have been used for the treatment of heart failure and chronic atrial fibrillation.
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1. Characterization of the α+-
2. Selectivity of digitalis glycosides for isoforms of human Na,K-
3. Mechanism of cardiac glycoside inhibition of the (Na+-