Abstract

The strophanthins, which we now know to be steroidal cardiac glycosides, were isolated from African plant sources (arrow poisons) in the late 19th century. By the 1880s, galenical preparations of strophanthus were commonly prescribed for cardiac patients as a substitute for digitalis. Intravenous (IV) strophanthin-K was popularised for the treatment of cardiac failure between 1910 and 1935. Experimental use of strophanthin-G (ouabain) in animals undergoing hypovolaemic shock in the 1940s prompted its IV use for the treatment of shock in man in the 1950s. Textbooks of anaesthesia recommended the strophanthins for resuscitation and treatment of shock until the 1970s, but by the 1980s, such use had waned.

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