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Pharmacology CHF, Angina Pectoris and Myocardial Infarction ca83947c

Digoxin is used for treatment of congestive hea failure. It acts by inhibiting:-

A
Na+ K+ ATPase
B
H+ K+ ATPase
C
Na+ H+ ATPase
D
Na+ K+ 2 Cl- cotranspoer
High-Yield Explanation
Digoxin acts by inhibiting Na+K+ATPase of myocardial fibres by binding to its extracellular face- Accumulation of sodium in the cardiac cell- increased intracellular calcium. This Ca2+ is shifted to sarcoplasmic reticulum with the help of SERCA for storage. Thus, during systole, entry of calcium from membrane Ca2+ channels triggers release of high amount of Ca2+ from the sarcoplasmic reticulum and result in increased contractility.

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