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Digitalis

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415: 1464:, an intracellular organelle that stores calcium. Human newborns, some animals, and patients with chronic heart failure lack well developed and fully functioning sarcoplasmic reticula and must rely on the Na/Ca exchanger to provide all or a majority of the cytoplasmic calcium required for cardiac contraction. For this to occur, cytoplasmic sodium must exceed its typical concentration to favour a reversal in potential, which naturally occurs in human newborns and some animals primarily through an elevated heart rate; in patients with chronic heart failure it occurs through the administration of digitalis. As a result of increased contractility, 1460:. This results in an increased intracellular concentration of sodium ions and thus a decreased concentration gradient across the cell membrane. This increase in intracellular sodium causes the Na/Ca exchanger to reverse potential, i.e., transition from pumping sodium into the cell in exchange for pumping calcium out of the cell, to pumping sodium out of the cell in exchange for pumping calcium into the cell. This leads to an increase in cytoplasmic calcium concentration, which improves cardiac contractility. Under normal physiological conditions, the cytoplasmic calcium used in cardiac contractions originates from the 1400:. Digoxin was approved for heart failure in 1998 under current regulations by the Food and Drug Administration on the basis of prospective, randomized study and clinical trials. It was also approved for the control of ventricular response rate for patients with atrial fibrillation. American College of Cardiology/American Heart Association guidelines recommend digoxin for symptomatic chronic heart failure for patients with reduced systolic function, preservation of systolic function, and/or rate control for atrial fibrillation with a rapid ventricular response. 1405:
is the more recent introduction of several drugs shown in randomised controlled studies to improve outcomes in heart failure. Safety concerns regarding a proposed link between digoxin therapy and increased mortality seen in observational studies may have contributed to the decline in therapeutic use of digoxin, however a systematic review of 75 studies including four million patient years of patient follow-up showed that in properly designed randomised controlled studies, mortality was no higher in patients given digoxin than in those given placebo.
1274: 1563: 2793:"ACC/AHA/ESC Guidelines for the Management of Patients With Atrial Fibrillation: Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients With Atrial Fibrillation) Developed in Collaboration With the North American Society of Pacing and Electrophysiology" 1627:(increased heart rate), depending on the dose, the condition of one's heart, and the prevailing chemistry of the blood (specifically any of: low potassium, high calcium and low magnesium). Electrical cardioversion (to "shock" the heart) is generally not indicated in ventricular fibrillation in digitalis toxicity, as it can make the rhythm disturbance more complicated or sustained. Furthermore, the classic drug of choice for ventricular fibrillation in emergency setting, 231: 1420: 1664:'s "Yellow Period" may have been influenced by digitalis, because it had been proposed as a therapy to control epilepsy around this time, and there are two paintings by the artist where the plant is present. Other studies immediately questioned this: there are a large number of other possible explanations for van Gogh's choice of palette, there is no evidence that van Gogh was ever given the drug or that his physician prescribed it, he was tested and had no 83: 219: 2363: 60: 2791:
Joseph S.; Faxon, David P.; Fuster, Valentin; Gregoratos, Gabriel; Hiratzka, Loren F.; Jacobs, Alice K.; Russell, Richard O.; Smith, Sidney C.; Klein, Werner W.; Alonso-Garcia, Angeles; Blomström-Lundqvist, Carina; de Backer, Guy; Flather, Marcus; Hradec, Jaromir; Oto, Ali; Parkhomenko, Alexander; Silber, Sigmund; Torbicki, Adam (23 October 2001).
1652:) plant, which is sometimes brewed into a tea, with fatal consequences. Other fatal accidents involve children drinking the water in a vase containing digitalis plants. Drying does not reduce the toxicity of the plant. The plant is toxic to animals, including all classes of livestock and poultry, as well as felines and canines. 2790:
Fuster, Valentin; Rydén, Lars E.; Asinger, Richard W.; Cannom, David S.; Crijns, Harry J.; Frye, Robert L.; Halperin, Jonathan L.; Kay, G. Neal; Klein, Werner W.; Lévy, Samuel; McNamara, Robert L.; Prystowsky, Eric N.; Wann, L. Samuel; Wyse, D. George; Gibbons, Raymond J.; Antman, Elliott M.; Alpert,
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is native to Europe, Western Asia, and northwestern Africa. The flowers are tubular in shape, produced on a tall spike, and vary in colour with species, from purple to pink, white, and yellow. The name derives from the Latin word for "finger". The genus was traditionally placed in the figwort family,
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The entire plant is toxic (including the roots and seeds). Mortality is rare, but case reports do exist. Most plant exposures occur in children younger than six years and are usually unintentional and without associated significant toxicity. More serious toxicity occurs with intentional ingestion by
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guidelines for heart failure provide similar recommendations. Despite its relatively recent approval by the Food and Drug Administration and the guideline recommendations, the therapeutic use of digoxin is declining in patients with heart failure—likely the result of several factors. The main factor
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as 'foxes glofe/glofa' or 'fox's glove'. Over time, folk myths obscured the literal origins of the name, insinuating that foxes wore the flowers on their paws to silence their movements as they stealthily hunted their prey. The woody hillsides where the foxes made their dens were often covered with
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Depending on the species, the digitalis plant may contain several deadly physiological and chemically related cardiac and steroidal glycosides. Thus, the digitalis plants have earned several, more sinister, names: dead man's bells and witch's gloves. The toxins can be absorbed via the skin or
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Fuster, Valentin; Rydén, Lars E.; Cannom, David S.; Crijns, Harry J.; Curtis, Anne B.; Ellenbogen, Kenneth A.; Halperin, Jonathan L.; Le Heuzey, Jean-Yves; Kay, G. Neal; Lowe, James E.; Olsson, S. Bertil; Prystowsky, Eric N.; Tamargo, Juan Luis; Wann, Samuel (August 2006).
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group at the C-3 position on the B-ring (adjacent to the pentane). This results in digoxin having a half-life of about one day (and increasing with impaired kidney function), whereas digitoxin's is about 7 days and not affected by kidney function. Both molecules include a
1334:), and for "a scabby head". There is no empirical evidence for these claims, and it is not used for these conditions in modern medicine, only for slowing excessive heart rate in certain circumstances and/or strengthening heart muscle contraction in heart failure. 1600:(jaundiced or yellow vision). Other oculotoxic effects of digitalis include generalized blurry vision, as well as the appearance of blurred outlines ('halos'). Other things mentioned are dilated pupils, drooling, weakness, collapse, seizures, and even death. 375:. This biennial is often grown as an ornamental plant due to its vivid flowers, which range in colour from various purple tints through pink and purely white. The flowers can also possess various marks and spottings. Other garden-worthy species include 1468:
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.
1306:. The bright flowers attract the bee, which lands on the lower lip of the bloom before climbing up the tube. This means that the bee is likely to drop any pollen it may have collected from other foxgloves, thereby facilitating propagation. 1350:
and the difficulty of determining the amount of active drug in herbal preparations. Once the usefulness of digitalis in regulating the human pulse was understood, it was employed for a variety of purposes, including the treatment of
470:(1847) proposed 'folks' glove', where 'folk' means fairy. Similarly, R. C. A. Prior (1863) suggested an etymology of 'foxes-glew', meaning 'fairy music'. However, neither of these suggestions account for the Old English form 1584:, results from an overdose of digitalis and can cause gastrointestinal, cardiac and neurological effects. The former include appetite loss, nausea, vomiting and diarrhoea; the cardiac symptoms include both 2034: 2679:
Ziff, Oliver J.; Lane, Deirdre A.; Samra, Monica; Griffith, Michael; Kirchhof, Paulus; Lip, Gregory Y. H.; Steeds, Richard P.; Townend, Jonathan; Kotecha, Dipak (30 August 2015).
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A group of pharmacologically active compounds are extracted mostly from the leaves of the second year's growth, and in pure form are referred to by common chemical names, such as
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than Werner in his works, and recognised eight species in the country. A 2016 molecular phylogenetic study into the relationships of the Turkish species in the section
406:, extracted from various plants of this genus. Foxglove has medicinal uses but is also very toxic to humans and other animals, and consumption can even lead to death. 3804: 2653: 3843: 3547: 3274: 1964: 2291:: Geschichte, Biologie, Chemie, Physiologie, Molekularbiologie, medizinische Anwendung. Handbuch für Ärzte, Apotheker und andere Naturwissenschaftler 2065:
Digitalium monographia: sistens historiam botanicam generis, tabulis omnium specierum hactenus cognitarum illustratam ut plurimum confectis ad icones
3752: 1484:, when it can paradoxically increase the heart rate). The dependence on the vagal effect means digitalis is not effective when a patient has a high 3817: 3765: 1481: 3879: 3001:
Symptoms may include gastrointestinal disturbances and pain, severe headache, nausea, vomiting, diarrhea, irregular pulse, and yellow vision...
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Goldthorp, W. O. (2009). "Medical Classics: An Account of the Foxglove and Some of its Medicinal Uses by William Withering, published 1785".
1668:, and in his many letters of the time he makes it clear that he simply liked using the colour yellow, but it has remained a popular theory. 1635:
is more commonly used. Mild toxicity is treated by stopping the medication and general supportive measures; severe toxicity is treated with
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Eker, İsmail; Yücesan, Buhara; Sameeullah, Muhammad; Welß, Walter; Müller-Uri, Frieder; Gürel, Ekrem; Kreis, Wolfgang (January 2016).
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by chemical modifications. DIG molecules are often linked to nucleotides; DIG-labelled uridine can then be incorporated into RNA via
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of the genus published in 2004 found that although four of Werner's sections were supported by the genetics, the section
1396:. Digitalis is hence often prescribed for patients in atrial fibrillation, especially if they have been diagnosed with 3664: 2963: 3500:
Voskuil, Piet (October 2020). "Vincent van Gogh and his illness. A reflection on a posthumous diagnostic exercise".
3933: 3892: 2001: 1701: 1696: 1533: 1485: 1194: 1151:, Luckner and Wichtl continued to uphold Werner's classification of the 19 species, but molecular studies into the 515: 82: 1376:, in 1785, which is considered the beginning of modern therapeutics. In contemporary medicine, digitalis (usually 464:
the toxic flowers. Some of the more menacing names, such as "witch's glove", reference the toxicity of the plant.
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on heart muscle cells is to increase contraction of the cells, both in force and frequency, tending to produce
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aimed to reconcile this discrepancy, finding that the classification as proposed by Davis was largely correct:
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Olmstead, R. G.; de Pamphilis, C. W.; Wolfe, A. D.; Young, N. D.; Elisons, W. J.; Reeves, P. A. (2001).
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for the treatment of heart conditions was first described in the English-speaking medical literature by
1273: 1132: 1051: 830: 642: 614: 534: 3166:"ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation—Executive Summary" 1562: 1302:. The shape of the foxglove's flowers makes it especially attractive to long-tongued bees, such as the 1261:
were not tested in this study, but the 2004 study found these two species situated within the section
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had been considered a valid species since it was first described by the English botanist and gardener
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In the last full monograph of the genus in 1965, Werner classified the 19 recognised species in five
861: 766: 621: 583: 566: 3575: 1326:. He cited its use for healing wounds (both fresh and old), as a purgative, for "the King's Evil" ( 1477: 1393: 1186: 1104: 1086: 1074: 1062: 820: 684: 674: 609: 546: 524: 42: 2431: 1175:. This study, as well as a number of other studies published around that time, reunited the genus 925: 230: 176: 3969: 3941: 3884: 3525: 3411: 3195: 2718: 2515: 2344: 2130: 1804: 1636: 1593: 1364: 1279: 1005: 993: 970: 963: 788: 778: 371: 77: 68: 1419: 3866: 3809: 3687: 3517: 3475: 3403: 3356: 3329: 3252: 3232: 3187: 3143: 3113: 3071: 2990: 2943: 2937: 2918: 2910: 2871: 2863: 2822: 2814: 2743: 2710: 2634: 2593: 2538: 2455: 2294: 2230: 2122: 1919: 1842: 1812: 1620: 1557: 1373: 1369: 1347: 1319: 1092: 1068: 1034: 1017: 1011: 756: 736: 716: 597: 399: 3509: 3465: 3457: 3393: 3321: 3177: 3061: 3051: 3013: 2902: 2853: 2804: 2772: 2700: 2692: 2624: 2583: 2575: 2507: 2482: 2379: 2362:
Robinson, G. S.; Ackery, P. R.; Kitching, I. J.; Beccaloni, G. W.; Hernández, L. M. (2010).
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Akera, Tai; Brody, Theodore M. (1985). "Sodium ion and the cardiac actions of digitalis".
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can be used which reacts with the alkaline phosphatase to produce a coloured precipitate.
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In some instances, people have confused foxglove with the relatively harmless comfrey (
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and other seizure disorders, which are now considered to be inappropriate treatments.
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Tonkon, M. J.; Lee, G.; DeMaria, A. N.; Miller, R. R.; Mason, D. T. (December 1977).
2776: 2091: 1782: 1465: 1408: 576: 539: 197: 3415: 2519: 2348: 2134: 2063: 1631:, can worsen the dysrhythmia caused by digitalis, therefore, the second-choice drug 3946: 3199: 2722: 2629: 2612: 2059: 1738: 1291: 1160: 1055: 990: 949: 913: 803: 359: 355: 59: 3692: 3669: 3656: 3040:"Spectrum of digoxin-induced ocular toxicity: a case report and literature review" 2319:
Bräuchler, C.; Meimberg, H.; Heubl, G. (2004). "Molecular phylogeny of the genera
2891:"Effects of digitalis on the exercise electrocardiogram in normal adult subjects" 2252: 1342:
Digitalis is an example of a drug derived from a plant that was formerly used by
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in 2001. More recent phylogenetic work has placed it in the much enlarged family
3920: 3835: 3778: 3639: 3513: 3378: 3105: 1624: 1616: 1612: 1596:—see below); and the neurological effects include fatigue, delirium, and rarely 1589: 1585: 1496: 1295: 1294:, a moth, consume the flowers of the common foxglove for food. Other species of 974: 962:
with three subsections, including 2Y species, a number of which are now seen as
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In sum, foxglove means foxglove, and this disturbing fact has to be accepted.
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drive, which is the case with acutely ill persons, and also during exercise.
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Renard, D; Rubli, E; Voide, N; Borruat, FX; Rothuizen, LE (23 August 2015).
1648: 1632: 1545: 1445: 1428: 1359: 1343: 1152: 1026: 954: 945: 658: 456:, which translates literally as 'finger hat', but actually means 'thimble'. 3910: 3521: 3479: 3445: 3191: 3117: 3075: 2906: 2826: 2714: 2638: 2234: 1816: 3461: 3407: 3360: 3333: 2890: 2875: 2597: 2225: 2204: 1923: 1392:
to control the heart rate, particularly in the irregular (and often fast)
3905: 3679: 3624: 3548:"It was all yellow: did digitalis affect the way Van Gogh saw the world?" 2922: 1905: 1525: 1436: 1385: 1352: 1331: 156: 146: 133: 17: 3586: 3398: 2009: 3757: 2257:
L. -Fingerhut (Scrophulariaceae) - eine wichtige Arzneipflanzengattung"
1808: 1520: 1441: 1432: 1377: 745: 634: 602: 403: 38: 2696: 2613:"A Fond Farewell to the Foxglove? The Decline in the Use of Digitalis" 2511: 1947:
Apellauimus autem Digitalem, alludentes ad germanicam nomenclaturam...
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occurs, RNA with the incorporated DIG-U can be detected with anti-DIG
3783: 2383: 2327:(Lindley) Loudon (Veronicaceae) based on ITS- and trnL-F sequences". 1190: 835: 749: 741: 589: 551: 193: 3601: 1799: 3718: 1561: 1418: 1346:; herbalists have largely abandoned its use because of its narrow 1287: 1272: 854: 771: 699: 647: 555: 493:
originally recognised a number of species now seen as synonyms of
413: 332: 229: 217: 94: 3796: 2068:(in Latin). London: Arthur Taylor for J.H. Bohte. pp. 1–27. 1839:
The Royal Horticultural Society A-Z Encyclopedia of Garden Plants
1384:. It is used to increase cardiac contractility (it is a positive 331:) is a genus of about 20 species of herbaceous perennial plants, 1512: 793: 572: 3605: 2293:(in German). Stuttgart: Wissenschaftliche Verlagsgesellschaft. 1944:(in Latin). Basel: In officina Isingriniana. pp. 892–893. 1358:
A group of medicines extracted from foxglove plants are called
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recognises the following 27 species (and a number of hybrids):
41:. For the foxglove-tree, which has similar-looking blooms, see 3705: 3377:
Arnold, Wilfred Niels; Loftus, Loretta S. (1 September 1991).
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Werner, Klaus (1965). "Taxonomie und Phylogenie der Gattungen
998:, four other species (as recognised as the time) were placed: 3285:. Canadian Biodiversity Information Facility. Archived from 3229:
Back to Basics: Critical Care Transport Certification Review
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HOSTS – A Database of the World's Lepidopteran Hostplants
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Digitalis poisoning can cause indirect inhibition of the
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Simpson, Beryl Brintnall; Ogorzaly, Molly Coner (2001).
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first invented the name for this plant in his 1542 book
3253:"Cardiac Glycoside Plant Poisoning: Medscape reference" 2484:
An Account of the Foxglove and some of its Medical Uses
2436:(1st ed.). London: William Bentley. pp. 97–98 1499:(DIG) is a steroid found in the flowers and leaves of 1476:, and can be used to slow the ventricular rate during 27:
Genus of flowering plants in the family Plantaginaceae
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Rehman, Rameez; Dawson, Andrew H.; Hai, Ofek (2022).
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University of Arkansas System Division of Agriculture
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included Foxglove in his 1652 herbal medicine guide,
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Methods in Plant Molecular Biology and Biotechnology
317: 311: 296: 273: 267: 252: 3614: 3308:Lee, T. C. (20 February 1981). "Van Gogh's vision. 2560:"Drugs for atrial fibrillation. Digoxin comes from 2537:(3rd ed.). Boston: Mc Graw Hill. p. 529. 1519:. It can easily be attached to nucleotides such as 308: 264: 1592:(either of which, if severe enough, can result in 37:For the drug used to treat heart conditions, see 2406:"Foxglove (Digitalis purpurea) - British Plants" 2314: 2312: 2310: 2092:"Phylogeny of Anatolian (Turkey) species in the 1992: 1990: 1958: 1956: 398:is also used for drug preparations that contain 3349:Bulletin des Sociétés d'Ophtalmologie Française 369:The best-known species is the common foxglove, 30:"Foxglove" redirects here. For other uses, see 2054: 2052: 3372: 3370: 3170:Journal of the American College of Cardiology 2846:Journal of the American College of Cardiology 2246: 2244: 2002:"Etymologists at War with a Flower: Foxglove" 952:in 1821. He included two sections, a section 418:Hendrik Goltzius, A Foxglove in Bloom, 1592, 8: 3283:Canadian poisonous plants information system 2842:"Digitalis and the autonomic nervous system" 2198: 2196: 2194: 1615:(decreased heart rate) or if severe enough, 958:including two species, and the main section 592:& O'Shan.) Albach, Bräuchler & Heubl 2085: 2083: 916:in 1821, but it was considered a hybrid of 358:research led taxonomists to move it to the 3602: 3379:"Xanthopsia and van Gogh's yellow palette" 1544:. To reveal the hybridised transcripts, a 1229:was subsumed at the infraspecific rank as 1183:, increasing the number of species to 23. 58: 49: 3469: 3397: 3181: 3065: 3055: 2857: 2808: 2704: 2654:"Medications Used to Treat Heart Failure" 2628: 2587: 2224: 1942:De historia stirpium commentarii insignes 1913: 1798: 1472:Digitalis also has a vagal effect on the 447:Notable comments on the history of plants 443:De historia stirpium commentarii insignes 1783:"Disintegration of the Scrophulariaceae" 1677: 3142:. John Wiley & Sons. p. 631. 3093:(8th ed.). New York: McGraw-Hill. 1683: 1681: 1444:and a triple-repeating sugar called a 2966:. Minnesota Department of Agriculture 1864:"Foxglove and other poisonous plants" 7: 3934:8a56666c-dc15-4191-9755-6f0315db6869 3859:908335e3-196c-4f4b-897c-202a2877b427 3425:from the original on 30 October 2018 3231:. Xlibris Corporation. p. 290. 2144:from the original on 2 December 2021 1328:mycobacterial cervical lymphadenitis 948:regarding this genus was written by 3450:British Journal of General Practice 3091:Goldfrank's Toxicologic Emergencies 1841:. Dorling Kindersley. p. 377. 1837:Brickell, Christopher, ed. (2008). 3898:urn:lsid:ipni.org:names:30112738-2 3446:"Vincent van Gogh's yellow vision" 2840:Watanabe, August M. (1 May 1985). 2765:Trends in Pharmacological Sciences 2487:. Birmingham, England: M. Swinney. 1862:Trust, Woodland (7 January 2020). 1423:Digitalis purpurea -- light purple 25: 3576:Molecule of the Month - Digitalis 3347:Lanthony, P. (October 1989). "". 2611:Weisse, Allen B. (January 2010). 2286:Luckner, M.; Wichtl, Max (2000). 1963:Klingaman, Gerald (17 May 2002). 1580:Digitalis intoxication, known as 3326:10.1001/jama.1981.03310320049025 3214:"European Resuscitation Council" 2936:Glick, Bernard R. (4 May 2018). 2462:. BMJ & Pharmaceutical Press 2456:"BNF (only available in the UK)" 1515:in situ and label DNA, RNA, and 1402:Heart Failure Society of America 1237:. This study listed 23 species: 1171:should be placed in the section 1046:, which was also called section 289: 245: 81: 2329:Plant Systematics and Evolution 1890:"Plants and cardiac glycosides" 1660:According to 1981 speculation, 1637:anti-digoxin antibody fragments 1507:. Digoxigenin can be used as a 1503:species, and is extracted from 1330:), for "the falling sickness" ( 2987:Lewis Dictionary of Toxicology 2630:10.1016/j.cardfail.2009.08.001 2376:Natural History Museum, London 1474:parasympathetic nervous system 1456:Digitalis works by inhibiting 1411:use foxglove to treat eczema. 1298:eat the leaves, including the 1205:contained as distinct species 1054:. It included, along with the 1: 2859:10.1016/S0735-1097(85)80461-7 1965:"Plant of the Week: Foxglove" 1888:Hollman, A (September 1985). 234:Pink common foxglove with bee 3138:Abou-Donia, Mohamed (2015). 2777:10.1016/0165-6147(85)90136-1 2660:. American Heart Association 1189:, an expert on the flora of 977:were separated in the genus 3514:10.1016/j.yebeh.2020.107258 3444:Gruener, Anna (July 2013). 2985:Lewis, Robert Alan (1998). 2736:Watts, D. C. (2 May 2007). 2568:BMJ (Clinical Research Ed.) 2481:Withering, William (1785). 2430:Culpeper, Nicholas (1652). 1607:via a direct effect on the 211:Over 20 species, see text: 4001: 3594:Collier's New Encyclopedia 3227:Lee Lopez, Orchid (2011). 3183:10.1016/j.jacc.2006.07.009 2989:. CRC Press. p. 387. 2942:. CRC Press. p. 183. 2617:Journal of Cardiac Failure 2558:Hollman, A. (April 1996). 2433:The English Physician, Etc 2119:10.11646/phytotaxa.244.3.3 1787:American Journal of Botany 1702:Royal Botanic Gardens, Kew 1697:Plants of the World Online 1555: 1486:sympathetic nervous system 516:Plants of the World Online 402:, particularly one called 36: 29: 3112:. StatPearls Publishing. 3089:Goldfrank, L. W. (2006). 3057:10.1186/s13104-015-1367-6 2742:. Elsevier. p. 129. 2341:10.1007/s00606-004-0145-z 1757:"Definition of DIGITALIS" 1724:Oxford English Dictionary 1147:In their 2000 book about 449:), based upon the German 209: 204: 78:Scientific classification 76: 66: 57: 52: 32:Foxglove (disambiguation) 2810:10.1161/circ.104.17.2118 2739:Dictionary of Plant Lore 2580:10.1136/bmj.312.7035.912 2203:Kreis, Wolfgang (2017). 2185:10.1002/fedr.19650700106 2074:10.5962/bhl.title.160067 1643:adolescents and adults. 1398:congestive heart failure 895:Digitalis × purpurascens 459:The name is recorded in 3502:Epilepsy & Behavior 2685:British Medical Journal 2500:British Medical Journal 1761:www.merriam-webster.com 1619:. The direct effect of 1458:sodium-potassium ATPase 1300:lesser yellow underwing 1193:, had used a different 1163:, and that the species 1121:included four species: 1085:included five species: 924:by the German botanist 420:National Gallery of Art 2907:10.1378/chest.72.6.714 1573: 1462:sarcoplasmic reticulum 1424: 1284: 871:Digitalis × macedonica 423: 235: 227: 3980:Antiarrhythmic agents 3975:Plantaginaceae genera 3462:10.3399/bjgp13X669266 2226:10.1055/s-0043-111240 1894:British Heart Journal 1605:atrioventricular node 1565: 1422: 1324:The English Physician 1276: 1052:Vernon Hilton Heywood 850:Digitalis × coutinhoi 831:Digitalis viridiflora 666:Digitalis isabelliana 643:Digitalis grandiflora 535:Digitalis canariensis 417: 233: 221: 3275:"Notes on poisoning: 3140:Mammalian Toxicology 3106:"Digitalis Toxicity" 2251:Wichtl, Max (2001). 2167:(Lindl.) Benth. und 2000:(10 November 2010). 1906:10.1136/hrt.54.3.258 1542:alkaline phosphatase 1482:an accessory pathway 1390:antiarrhythmic agent 1253:were not mentioned. 890:Zerbst & Bocquet 767:Digitalis parviflora 631:Digitalis fuscescens 622:Digitalis ferruginea 584:Digitalis chalcantha 567:Digitalis cedretorum 3399:10.1038/eye.1991.93 1478:atrial fibrillation 1452:Mechanism of action 1394:atrial fibrillation 1380:) is obtained from 1368:extract containing 1187:Peter Hadland Davis 973:(four species from 821:Digitalis transiens 800:Digitalis subalpina 685:Digitalis lamarckii 675:Digitalis laevigata 610:Digitalis davisiana 547:Digitalis cariensis 525:Digitalis atlantica 43:Paulownia tomentosa 3546:(10 August 2017). 3508:(107258): 107258. 3289:on 13 October 2011 3044:BMC Research Notes 3014:"Digoxin Toxicity" 2964:"GRECIAN FOXGLOVE" 2219:(12–13): 962–976. 2173:Feddes Repertorium 1656:In popular culture 1621:cardiac glycosides 1611:. This results in 1574: 1567:Digitalis purpurea 1425: 1370:cardiac glycosides 1285: 1280:Digitalis purpurea 789:Digitalis sceptrum 779:Digitalis purpurea 679:Waldst. & Kit. 495:Digitalis purpurea 433:is from the Latin 424: 400:cardiac glycosides 372:Digitalis purpurea 339:, commonly called 236: 228: 72:(Common foxglove) 69:Digitalis purpurea 3957: 3956: 3867:Open Tree of Life 3608:Taxon identifiers 3552:The Guardian (UK) 3355:(10): 1133–1134. 3277:Digitalis purpura 2996:978-1-56670-223-2 2949:978-1-351-09139-8 2803:(17): 2118–2150. 2749:978-0-08-054602-5 2697:10.1136/bmj.h4451 2512:10.1136/bmj.b2189 2404:Trust, Woodland. 2100:(Plantaginaceae)" 1998:Liberman, Anatoly 1558:Digoxin poisoning 1374:William Withering 1348:therapeutic index 1320:Nicholas Culpeper 1304:common carder bee 989:, along with the 911: 899: 891: 887:Digitalis × pelia 883: 879:Digitalis × media 875: 867: 862:Digitalis × fulva 857: 838: 826: 816: 806: 796: 784: 774: 762: 757:Digitalis obscura 752: 737:Digitalis nervosa 732: 722: 717:Digitalis mariana 712: 702: 690: 680: 670: 662: 654:Digitalis ikarica 650: 638: 627: 617: 605: 598:Digitalis ciliata 593: 579: 562: 542: 530: 216: 215: 200: 16:(Redirected from 3992: 3985:Medicinal plants 3950: 3949: 3937: 3936: 3924: 3923: 3914: 3913: 3901: 3900: 3888: 3887: 3875: 3874: 3862: 3861: 3852: 3851: 3839: 3838: 3836:NHMSYS0000458091 3826: 3825: 3813: 3812: 3800: 3799: 3787: 3786: 3774: 3773: 3761: 3760: 3748: 3747: 3735: 3734: 3722: 3721: 3709: 3708: 3696: 3695: 3683: 3682: 3673: 3672: 3660: 3659: 3650: 3649: 3648: 3635: 3634: 3633: 3603: 3598: 3590: 3588:"Foxglove"  3563: 3562: 3560: 3558: 3540: 3534: 3533: 3497: 3491: 3490: 3488: 3486: 3473: 3456:(612): 370–371. 3441: 3435: 3434: 3432: 3430: 3424: 3401: 3383: 3374: 3365: 3364: 3344: 3338: 3337: 3312:intoxication?". 3305: 3299: 3298: 3296: 3294: 3270: 3264: 3263: 3261: 3259: 3249: 3243: 3242: 3224: 3218: 3217: 3210: 3204: 3203: 3185: 3160: 3154: 3153: 3135: 3129: 3128: 3126: 3124: 3101: 3095: 3094: 3086: 3080: 3079: 3069: 3059: 3035: 3029: 3028: 3026: 3024: 3010: 3004: 3003: 2982: 2976: 2975: 2973: 2971: 2960: 2954: 2953: 2933: 2927: 2926: 2886: 2880: 2879: 2861: 2837: 2831: 2830: 2812: 2787: 2781: 2780: 2760: 2754: 2753: 2733: 2727: 2726: 2708: 2676: 2670: 2669: 2667: 2665: 2649: 2643: 2642: 2632: 2608: 2602: 2601: 2591: 2562:Digitalis lanata 2555: 2549: 2548: 2530: 2524: 2523: 2495: 2489: 2488: 2478: 2472: 2471: 2469: 2467: 2452: 2446: 2445: 2443: 2441: 2427: 2421: 2420: 2418: 2416: 2401: 2395: 2394: 2392: 2390: 2384:10.5519/havt50xw 2359: 2353: 2352: 2335:(1–4): 111–128. 2316: 2305: 2304: 2283: 2277: 2276: 2274: 2272: 2248: 2239: 2238: 2228: 2205:"The Foxgloves ( 2200: 2189: 2188: 2179:(1–3): 109–135. 2160: 2154: 2153: 2151: 2149: 2143: 2104: 2087: 2078: 2077: 2056: 2047: 2046: 2031: 2025: 2024: 2019: 2017: 2008:. Archived from 1994: 1985: 1984: 1982: 1980: 1975:on 22 April 2020 1971:. Archived from 1960: 1951: 1950: 1934: 1928: 1927: 1917: 1885: 1879: 1878: 1876: 1874: 1859: 1853: 1852: 1834: 1828: 1827: 1825: 1823: 1802: 1778: 1772: 1771: 1769: 1767: 1753: 1747: 1746: 1735: 1729: 1720: 1714: 1713: 1711: 1709: 1685: 1662:Vincent van Gogh 1517:oligonucleotides 1492:Molecular probes 1480:(unless there's 934: 910:(Lindley) Werner 909: 897: 889: 881: 873: 865: 853: 834: 824: 814: 811:Digitalis thapsi 802: 792: 782: 770: 760: 740: 730: 720: 710: 698: 695:Digitalis lanata 688: 678: 668: 656: 646: 633: 625: 613: 601: 587: 570: 550: 538: 528: 468:Henry Fox Talbot 352:Scrophulariaceae 330: 329: 326: 325: 322: 319: 316: 313: 310: 307: 304: 301: 298: 295: 286: 285: 282: 281: 278: 275: 272: 269: 266: 263: 260: 257: 254: 251: 192: 86: 85: 62: 50: 21: 4000: 3999: 3995: 3994: 3993: 3991: 3990: 3989: 3960: 3959: 3958: 3953: 3945: 3940: 3932: 3927: 3919: 3917: 3909: 3904: 3896: 3891: 3883: 3878: 3870: 3865: 3857: 3855: 3847: 3842: 3834: 3829: 3821: 3816: 3808: 3803: 3795: 3790: 3782: 3777: 3769: 3764: 3756: 3751: 3743: 3738: 3730: 3725: 3717: 3712: 3704: 3699: 3691: 3686: 3678: 3676: 3668: 3663: 3655: 3653: 3644: 3643: 3638: 3629: 3628: 3623: 3610: 3585: 3572: 3567: 3566: 3556: 3554: 3544:Harkup, Kathryn 3542: 3541: 3537: 3499: 3498: 3494: 3484: 3482: 3443: 3442: 3438: 3428: 3426: 3422: 3381: 3376: 3375: 3368: 3346: 3345: 3341: 3307: 3306: 3302: 3292: 3290: 3272: 3271: 3267: 3257: 3255: 3251: 3250: 3246: 3239: 3226: 3225: 3221: 3212: 3211: 3207: 3162: 3161: 3157: 3150: 3137: 3136: 3132: 3122: 3120: 3103: 3102: 3098: 3088: 3087: 3083: 3037: 3036: 3032: 3022: 3020: 3012: 3011: 3007: 2997: 2984: 2983: 2979: 2969: 2967: 2962: 2961: 2957: 2950: 2935: 2934: 2930: 2888: 2887: 2883: 2839: 2838: 2834: 2789: 2788: 2784: 2762: 2761: 2757: 2750: 2735: 2734: 2730: 2678: 2677: 2673: 2663: 2661: 2651: 2650: 2646: 2610: 2609: 2605: 2557: 2556: 2552: 2545: 2535:Economic Botany 2532: 2531: 2527: 2497: 2496: 2492: 2480: 2479: 2475: 2465: 2463: 2454: 2453: 2449: 2439: 2437: 2429: 2428: 2424: 2414: 2412: 2403: 2402: 2398: 2388: 2386: 2361: 2360: 2356: 2318: 2317: 2308: 2301: 2285: 2284: 2280: 2270: 2268: 2250: 2249: 2242: 2202: 2201: 2192: 2162: 2161: 2157: 2147: 2145: 2141: 2102: 2089: 2088: 2081: 2058: 2057: 2050: 2033: 2032: 2028: 2015: 2013: 1996: 1995: 1988: 1978: 1976: 1962: 1961: 1954: 1938:Fuchs, Leonhart 1936: 1935: 1931: 1887: 1886: 1882: 1872: 1870: 1861: 1860: 1856: 1849: 1836: 1835: 1831: 1821: 1819: 1800:10.2307/2657024 1780: 1779: 1775: 1765: 1763: 1755: 1754: 1750: 1737: 1736: 1732: 1721: 1717: 1707: 1705: 1687: 1686: 1679: 1674: 1658: 1560: 1554: 1509:molecular probe 1494: 1454: 1417: 1340: 1317: 1315:Historical uses 1312: 1271: 1195:circumscription 1033:contained only 985:In the section 944:The first full 942: 928: 845: 727:Digitalis minor 707:Digitalis lutea 669:(Webb) Linding. 485: 480: 451:vernacular name 428:generic epithet 412: 292: 288: 248: 244: 224:Digitalis lutea 191: 80: 46: 35: 28: 23: 22: 15: 12: 11: 5: 3998: 3996: 3988: 3987: 3982: 3977: 3972: 3962: 3961: 3955: 3954: 3952: 3951: 3947:wfo-4000011699 3938: 3925: 3915: 3902: 3889: 3876: 3863: 3853: 3840: 3827: 3814: 3801: 3788: 3775: 3762: 3749: 3736: 3723: 3710: 3697: 3684: 3674: 3661: 3651: 3636: 3620: 3618: 3612: 3611: 3606: 3600: 3599: 3583: 3581:eMedicine link 3578: 3571: 3570:External links 3568: 3565: 3564: 3535: 3492: 3436: 3392:(5): 503–510. 3366: 3339: 3320:(7): 727–729. 3300: 3265: 3244: 3237: 3219: 3205: 3155: 3148: 3130: 3096: 3081: 3030: 3005: 2995: 2977: 2955: 2948: 2928: 2901:(6): 714–718. 2881: 2852:(5): 35A–42A. 2832: 2782: 2755: 2748: 2728: 2671: 2644: 2603: 2550: 2543: 2525: 2490: 2473: 2447: 2422: 2410:Woodland Trust 2396: 2354: 2306: 2299: 2278: 2240: 2190: 2155: 2079: 2048: 2037:Flora Europaea 2026: 1986: 1952: 1929: 1900:(3): 258–261. 1880: 1868:Woodland Trust 1854: 1847: 1829: 1793:(2): 348–361. 1773: 1748: 1743:Dictionary.com 1730: 1715: 1676: 1675: 1673: 1670: 1657: 1654: 1556:Main article: 1553: 1550: 1540:conjugated to 1493: 1490: 1453: 1450: 1416: 1413: 1339: 1338:Medicinal uses 1336: 1316: 1313: 1311: 1308: 1270: 1267: 1169:D. viridiflora 1145: 1144: 1134:D. viridiflora 1116: 1080: 1059:D. grandiflora 1040: 1023: 981:at the time): 941: 938: 937: 936: 918:D. grandiflora 900: 892: 884: 876: 868: 858: 844: 841: 840: 839: 827: 817: 807: 797: 785: 775: 763: 753: 733: 723: 713: 703: 691: 681: 671: 663: 651: 639: 628: 618: 606: 594: 580: 563: 543: 531: 513:. As of 2017, 490:Flora Europaea 484: 481: 479: 476: 439:Leonhart Fuchs 411: 408: 381:D. grandiflora 364:Plantaginaceae 214: 213: 207: 206: 202: 201: 184: 180: 179: 174: 170: 169: 167:Plantaginaceae 164: 160: 159: 154: 150: 149: 144: 137: 136: 131: 124: 123: 118: 111: 110: 105: 98: 97: 92: 88: 87: 74: 73: 64: 63: 55: 54: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3997: 3986: 3983: 3981: 3978: 3976: 3973: 3971: 3968: 3967: 3965: 3948: 3943: 3939: 3935: 3930: 3926: 3922: 3916: 3912: 3907: 3903: 3899: 3894: 3890: 3886: 3881: 3877: 3873: 3868: 3864: 3860: 3854: 3850: 3845: 3841: 3837: 3832: 3828: 3824: 3819: 3815: 3811: 3806: 3802: 3798: 3793: 3789: 3785: 3780: 3776: 3772: 3767: 3763: 3759: 3754: 3750: 3746: 3741: 3737: 3733: 3728: 3724: 3720: 3715: 3711: 3707: 3702: 3698: 3694: 3689: 3685: 3681: 3675: 3671: 3666: 3662: 3658: 3652: 3647: 3641: 3637: 3632: 3626: 3622: 3621: 3619: 3617: 3613: 3609: 3604: 3596: 3595: 3589: 3584: 3582: 3579: 3577: 3574: 3573: 3569: 3553: 3549: 3545: 3539: 3536: 3531: 3527: 3523: 3519: 3515: 3511: 3507: 3503: 3496: 3493: 3481: 3477: 3472: 3467: 3463: 3459: 3455: 3451: 3447: 3440: 3437: 3421: 3417: 3413: 3409: 3405: 3400: 3395: 3391: 3387: 3380: 3373: 3371: 3367: 3362: 3358: 3354: 3351:(in French). 3350: 3343: 3340: 3335: 3331: 3327: 3323: 3319: 3315: 3311: 3304: 3301: 3288: 3284: 3280: 3278: 3269: 3266: 3254: 3248: 3245: 3240: 3238:9781456862749 3234: 3230: 3223: 3220: 3215: 3209: 3206: 3201: 3197: 3193: 3189: 3184: 3179: 3175: 3171: 3167: 3159: 3156: 3151: 3149:9781118683316 3145: 3141: 3134: 3131: 3119: 3115: 3111: 3107: 3100: 3097: 3092: 3085: 3082: 3077: 3073: 3068: 3063: 3058: 3053: 3049: 3045: 3041: 3034: 3031: 3019: 3015: 3009: 3006: 3002: 2998: 2992: 2988: 2981: 2978: 2965: 2959: 2956: 2951: 2945: 2941: 2940: 2932: 2929: 2924: 2920: 2916: 2912: 2908: 2904: 2900: 2896: 2892: 2885: 2882: 2877: 2873: 2869: 2865: 2860: 2855: 2851: 2847: 2843: 2836: 2833: 2828: 2824: 2820: 2816: 2811: 2806: 2802: 2798: 2794: 2786: 2783: 2778: 2774: 2770: 2766: 2759: 2756: 2751: 2745: 2741: 2740: 2732: 2729: 2724: 2720: 2716: 2712: 2707: 2702: 2698: 2694: 2690: 2686: 2682: 2675: 2672: 2659: 2658:www.heart.org 2655: 2648: 2645: 2640: 2636: 2631: 2626: 2622: 2618: 2614: 2607: 2604: 2599: 2595: 2590: 2585: 2581: 2577: 2574:(7035): 912. 2573: 2569: 2565: 2563: 2554: 2551: 2546: 2544:9780072909388 2540: 2536: 2529: 2526: 2521: 2517: 2513: 2509: 2505: 2501: 2494: 2491: 2486: 2485: 2477: 2474: 2461: 2457: 2451: 2448: 2435: 2434: 2426: 2423: 2411: 2407: 2400: 2397: 2385: 2381: 2377: 2373: 2369: 2367: 2358: 2355: 2350: 2346: 2342: 2338: 2334: 2330: 2326: 2322: 2315: 2313: 2311: 2307: 2302: 2300:3-8047-1705-5 2296: 2292: 2288: 2282: 2279: 2267:(164): 89–100 2266: 2263:(in German). 2262: 2258: 2256: 2247: 2245: 2241: 2236: 2232: 2227: 2222: 2218: 2214: 2213:Planta Medica 2210: 2208: 2199: 2197: 2195: 2191: 2186: 2182: 2178: 2175:(in German). 2174: 2170: 2166: 2159: 2156: 2140: 2136: 2132: 2128: 2124: 2120: 2116: 2112: 2108: 2101: 2099: 2095: 2086: 2084: 2080: 2075: 2071: 2067: 2066: 2061: 2060:Lindley, John 2055: 2053: 2049: 2044: 2043:species list" 2042: 2038: 2030: 2027: 2023: 2012:on 8 May 2013 2011: 2007: 2003: 1999: 1993: 1991: 1987: 1974: 1970: 1966: 1959: 1957: 1953: 1949: 1948: 1943: 1939: 1933: 1930: 1925: 1921: 1916: 1911: 1907: 1903: 1899: 1895: 1891: 1884: 1881: 1869: 1865: 1858: 1855: 1850: 1848:9781405332965 1844: 1840: 1833: 1830: 1818: 1814: 1810: 1806: 1801: 1796: 1792: 1788: 1784: 1777: 1774: 1762: 1758: 1752: 1749: 1744: 1740: 1734: 1731: 1727: 1725: 1719: 1716: 1703: 1699: 1698: 1694: 1693:Tourn. ex L." 1692: 1684: 1682: 1678: 1671: 1669: 1667: 1663: 1655: 1653: 1651: 1650: 1644: 1640: 1638: 1634: 1630: 1626: 1622: 1618: 1614: 1610: 1609:vagal nucleus 1606: 1601: 1599: 1595: 1591: 1587: 1583: 1578: 1572: 1568: 1564: 1559: 1551: 1549: 1547: 1543: 1539: 1535: 1534:hybridisation 1531: 1530:transcription 1528: 1527: 1522: 1518: 1514: 1510: 1506: 1502: 1498: 1491: 1489: 1487: 1483: 1479: 1475: 1470: 1467: 1466:stroke volume 1463: 1459: 1451: 1449: 1447: 1443: 1438: 1434: 1430: 1421: 1414: 1412: 1410: 1409:Romani people 1406: 1403: 1399: 1395: 1391: 1387: 1383: 1379: 1375: 1371: 1367: 1366: 1362:. The use of 1361: 1356: 1354: 1349: 1345: 1337: 1335: 1333: 1329: 1325: 1321: 1314: 1309: 1307: 1305: 1301: 1297: 1293: 1289: 1282: 1281: 1275: 1268: 1266: 1264: 1260: 1256: 1255:D. parviflora 1252: 1251:D. fuscescens 1248: 1244: 1243:D. cedretorum 1240: 1236: 1232: 1228: 1224: 1220: 1216: 1212: 1211:D. ferruginea 1208: 1204: 1200: 1196: 1192: 1188: 1184: 1182: 1178: 1174: 1170: 1166: 1162: 1158: 1154: 1150: 1142: 1141: 1140:D. parviflora 1136: 1135: 1130: 1129: 1124: 1120: 1117: 1114: 1113: 1108: 1107: 1102: 1101: 1100:D. ferruginea 1096: 1095: 1090: 1089: 1084: 1081: 1078: 1077: 1072: 1071: 1066: 1065: 1060: 1057: 1053: 1049: 1045: 1041: 1038: 1037: 1032: 1028: 1024: 1021: 1020: 1015: 1014: 1009: 1008: 1003: 1002: 997: 996: 992: 988: 984: 983: 982: 980: 976: 972: 967: 965: 961: 957: 956: 951: 947: 939: 932: 927: 923: 919: 915: 908: 904: 901: 896: 893: 888: 885: 880: 877: 872: 869: 864: 863: 859: 856: 852: 851: 847: 846: 842: 837: 833: 832: 828: 823: 822: 818: 813: 812: 808: 805: 801: 798: 795: 791: 790: 786: 781: 780: 776: 773: 769: 768: 764: 759: 758: 754: 751: 747: 743: 739: 738: 734: 729: 728: 724: 719: 718: 714: 709: 708: 704: 701: 697: 696: 692: 687: 686: 682: 677: 676: 672: 667: 664: 660: 655: 652: 649: 645: 644: 640: 636: 632: 629: 624: 623: 619: 616: 612: 611: 607: 604: 600: 599: 595: 591: 586: 585: 581: 578: 574: 569: 568: 564: 561: 557: 553: 549: 548: 544: 541: 537: 536: 532: 527: 526: 522: 521: 520: 518: 517: 512: 508: 504: 503:D. leucophaea 500: 497:, or others: 496: 492: 491: 482: 477: 475: 473: 469: 465: 462: 457: 455: 452: 448: 444: 440: 436: 432: 429: 421: 416: 409: 407: 405: 401: 397: 392: 390: 389:D. parviflora 386: 382: 378: 377:D. ferruginea 374: 373: 367: 365: 361: 357: 353: 348: 344: 342: 338: 334: 328: 284: 242: 241: 232: 226: 225: 220: 212: 208: 203: 199: 195: 190: 189: 185: 182: 181: 178: 175: 172: 171: 168: 165: 162: 161: 158: 155: 152: 151: 148: 145: 142: 139: 138: 135: 132: 129: 126: 125: 122: 119: 116: 113: 112: 109: 108:Tracheophytes 106: 103: 100: 99: 96: 93: 90: 89: 84: 79: 75: 71: 70: 65: 61: 56: 51: 48: 44: 40: 33: 19: 3615: 3592: 3555:. 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Index

Foxgloves
Foxglove (disambiguation)
Digoxin
Paulownia tomentosa

Digitalis purpurea
Scientific classification
Edit this classification
Plantae
Tracheophytes
Angiosperms
Eudicots
Asterids
Lamiales
Plantaginaceae
Digitalideae
Digitalis
Tourn.
L.

Digitalis lutea

/ˌdɪɪˈtlɪs/
/ˌdɪɪˈtælɪs/
shrubs
biennials
Scrophulariaceae
phylogenetic
Veronicaceae
Plantaginaceae

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