No abstract

The synthesis, proof of structure, and biological activity of some new steroidal 17beta-formyl guanylhydrazones are described. The guanylhydrazones of nondigitalis-like steroids inhibited myocardial Na+,K+-ATPase but had only a depressant effect on myocardial contractility. By comparison, the corresponding guanylhydrazone of a digitalis-like steroid gave a positive inotropic effect in concentrations that also inhibited Na+,K+-ATPase. The nondigitalis-like guanylhydrazones also inhibited membrane Mg2+-ATPase and this may infer that the compounds act nonspecifically by membrane stabilization rather than by interaction with stereoselective receptors. Biological activity was determined in the guinea pig.

No abstract

In an attempt to evaluate the 1 serum digoxin concentration as a guide to digitalis treatment, serum and myocardial concentrations were measured in 27 patients undergoing cardiac surgery.