Digitalis digitalis. As a result of increased contractility, stroke volume is increased. Ultimately, digitalis increases cardiac output (Cardiac Output=Stroke Volume x Heart Rate). This is the mechanism that makes this drug a popular treatment for congestive heart failure, which is characterized by low cardiac output. Digitalis also has a vagal effect on the parasympathetic nervous system, and as such is used in re-entrant cardiac arrhythmias and to slow the ventricular rate during atrial fibrillation. The dependence on the vagal effect means digitalis is not effective when a patient has a high sympathetic nervous system drive, which is the case with acutely
Where Do We Go from Here? (2015 film) Where Do We Go from Here? (2015 film) Where Do We Go from Here? is a Scottish comedy feature film by John McPhail. The film centres on James (Tyler Collins) a young man who takes on the role of a janitor of a care home when his Grandad is forced into social care. It is the first feature to be directed by John McPhail. When Jen starts her new Job as a nurse at the 'Easy Love Care Home, she is surprised to find James, a 25-year-old man living and working in the building. James and his three, elderly best