Our paediatricians were unhappy about the reference range for digoxin as, as far as they are concerned, it does not apply to the patients they see. Equally, our cardiologists were concerned about use of digoxin in atrial fibrillation versus use for other indications.
Michael Ryan
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Sally Brady
Sent: 21 June 2011 13:59
To: [log in to unmask]
Subject: Fwd: Digoxin
Dear All,
I don't know if you're aware but the Pathology Harmony RR for Digoxin has been extended since it was announced in the ACB news. See below.
Sally
Dr Sally Brady
Clinical Biochemist
Blood Sciences
The Hillingdon Hospital
01895 279924
>>> "Coley-Grant Deon (THE ROYAL WOLVERHAMPTON HOSPITALS NHS TRUST)" <[log in to unmask]> 21/06/2011 09:57 >>>
Hi Sally,
I can confirm that there has been an amendment to the digoxin RR.
The digoxin reference interval generated a lot of discussion and brought forward many concerns. At the last Harmony Meeting held 10th May we reviewed the proposed RR, and decided that we should extend the proposed range to 0.5 - 2.0 ug/L. It was recommended that a mandatory comment such "Target range in heart failure 0.5 - 1.0 ug/L" is added to the report.
I hope this helps,
Best regards,
Deon
Deon Coley-Grant
Principal Clinical Scientist
Clinical Chemistry Dept
New Cross Hospital
01902 307999 extn 8261
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