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Digitalis

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404: 1453:, 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, 1449:. 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 1389:. 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. 1394:
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.
1263: 1552: 2782:"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" 1616:(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, 220: 1409: 1653:'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 72: 208: 2352: 49: 2780:
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).
1641:) 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. 2779:
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
1323:), 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. 1589:(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. 364:. 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 1457:
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.
1295:. 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. 1339:
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
459:(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 1573:, 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 2023: 2668:
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
395:, 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. 3793: 2642: 3832: 3536: 3263: 1953: 2280:: Geschichte, Biologie, Chemie, Physiologie, Molekularbiologie, medizinische Anwendung. Handbuch für Ärzte, Apotheker und andere Naturwissenschaftler 2054:
Digitalium monographia: sistens historiam botanicam generis, tabulis omnium specierum hactenus cognitarum illustratam ut plurimum confectis ad icones
3741: 1473:, 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 3806: 3754: 1470: 3868: 2990:
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".
1657:, 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. 1624:
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
1385:. Digitalis is hence often prescribed for patients in atrial fibrillation, especially if they have been diagnosed with 3653: 2952: 3489:
Voskuil, Piet (October 2020). "Vincent van Gogh and his illness. A reflection on a posthumous diagnostic exercise".
3922: 3881: 1990: 1690: 1685: 1522: 1474: 1183: 1140:, Luckner and Wichtl continued to uphold Werner's classification of the 19 species, but molecular studies into the 504: 71: 1365:, in 1785, which is considered the beginning of modern therapeutics. In contemporary medicine, digitalis (usually 453:
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
1262: 1121: 1040: 819: 631: 603: 523: 3155:"ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation—Executive Summary" 1551: 1291:. The shape of the foxglove's flowers makes it especially attractive to long-tongued bees, such as the 1250:
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
850: 755: 610: 572: 555: 3564: 1315:. He cited its use for healing wounds (both fresh and old), as a purgative, for "the King's Evil" ( 1466: 1382: 1175: 1093: 1075: 1063: 1051: 809: 673: 663: 598: 535: 513: 31: 2420: 1164:. This study, as well as a number of other studies published around that time, reunited the genus 914: 219: 165: 3958: 3930: 3873: 3514: 3400: 3184: 2707: 2504: 2333: 2119: 1793: 1625: 1582: 1353: 1268: 994: 982: 959: 952: 777: 767: 360: 66: 57: 1408: 3855: 3798: 3676: 3506: 3464: 3392: 3345: 3318: 3241: 3221: 3176: 3132: 3102: 3060: 2979: 2932: 2926: 2907: 2899: 2860: 2852: 2811: 2803: 2732: 2699: 2623: 2582: 2527: 2444: 2283: 2219: 2111: 1908: 1831: 1801: 1609: 1546: 1362: 1358: 1336: 1308: 1081: 1057: 1023: 1006: 1000: 745: 725: 705: 586: 388: 3498: 3454: 3446: 3382: 3310: 3166: 3050: 3040: 3002: 2891: 2842: 2793: 2761: 2689: 2681: 2613: 2572: 2564: 2496: 2471: 2368: 2351:
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).
2765: 2080: 1771: 1454: 1397: 565: 528: 186: 3404: 2508: 2337: 2123: 2052: 1620:, can worsen the dysrhythmia caused by digitalis, therefore, the second-choice drug 3935: 3188: 2711: 2618: 2601: 2048: 1727: 1280: 1149: 1044: 979: 938: 902: 792: 348: 344: 48: 3681: 3658: 3645: 3029:"Spectrum of digoxin-induced ocular toxicity: a case report and literature review" 2308:
Bräuchler, C.; Meimberg, H.; Heubl, G. (2004). "Molecular phylogeny of the genera
2880:"Effects of digitalis on the exercise electrocardiogram in normal adult subjects" 2241: 1331:
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
3909: 3824: 3767: 3628: 3502: 3367: 3094: 1613: 1605: 1601: 1585:—see below); and the neurological effects include fatigue, delirium, and rarely 1578: 1574: 1485: 1284: 1283:, a moth, consume the flowers of the common foxglove for food. Other species of 963: 951:
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).
1637: 1621: 1534: 1434: 1417: 1348: 1332: 1141: 1015: 943: 934: 647: 445:, which translates literally as 'finger hat', but actually means 'thimble'. 3899: 3510: 3468: 3434: 3180: 3106: 3064: 2895: 2815: 2703: 2627: 2223: 1805: 3450: 3396: 3349: 3322: 2879: 2864: 2586: 2214: 2193: 1912: 1381:
to control the heart rate, particularly in the irregular (and often fast)
3894: 3668: 3613: 3537:"It was all yellow: did digitalis affect the way Van Gogh saw the world?" 2911: 1894: 1514: 1425: 1374: 1341: 1320: 145: 135: 122: 3575: 3387: 1998: 3746: 2246:
L. -Fingerhut (Scrophulariaceae) - eine wichtige Arzneipflanzengattung"
1797: 1509: 1430: 1421: 1366: 734: 623: 591: 392: 27: 2685: 2602:"A Fond Farewell to the Foxglove? The Decline in the Use of Digitalis" 2500: 1936:
Apellauimus autem Digitalem, alludentes ad germanicam nomenclaturam...
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occurs, RNA with the incorporated DIG-U can be detected with anti-DIG
3772: 2372: 2316:(Lindley) Loudon (Veronicaceae) based on ITS- and trnL-F sequences". 1179: 824: 738: 730: 578: 540: 182: 3590: 1788: 3707: 1550: 1407: 1335:; herbalists have largely abandoned its use because of its narrow 1276: 1261: 843: 760: 688: 636: 544: 482:
originally recognised a number of species now seen as synonyms of
402: 321: 218: 206: 83: 3785: 2057:(in Latin). London: Arthur Taylor for J.H. Bohte. pp. 1–27. 1828:
The Royal Horticultural Society A-Z Encyclopedia of Garden Plants
1373:. It is used to increase cardiac contractility (it is a positive 320:) is a genus of about 20 species of herbaceous perennial plants, 1501: 782: 561: 3594: 2282:(in German). Stuttgart: Wissenschaftliche Verlagsgesellschaft. 1933:(in Latin). Basel: In officina Isingriniana. pp. 892–893. 1347:
A group of medicines extracted from foxglove plants are called
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recognises the following 27 species (and a number of hybrids):
30:. For the foxglove-tree, which has similar-looking blooms, see 3694: 3366:
Arnold, Wilfred Niels; Loftus, Loretta S. (1 September 1991).
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Werner, Klaus (1965). "Taxonomie und Phylogenie der Gattungen
987:, four other species (as recognised as the time) were placed: 3274:. Canadian Biodiversity Information Facility. Archived from 3218:
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
3242:"Cardiac Glycoside Plant Poisoning: Medscape reference" 2473:
An Account of the Foxglove and some of its Medical Uses
2425:(1st ed.). London: William Bentley. pp. 97–98 1488:(DIG) is a steroid found in the flowers and leaves of 1465:, and can be used to slow the ventricular rate during 16:
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
306: 300: 285: 262: 256: 241: 3603: 3297:Lee, T. C. (20 February 1981). "Van Gogh's vision. 2549:"Drugs for atrial fibrillation. Digoxin comes from 2526:(3rd ed.). Boston: Mc Graw Hill. p. 529. 1508:. It can easily be attached to nucleotides such as 297: 253: 1581:(either of which, if severe enough, can result in 26:For the drug used to treat heart conditions, see 2395:"Foxglove (Digitalis purpurea) - British Plants" 2303: 2301: 2299: 2081:"Phylogeny of Anatolian (Turkey) species in the 1981: 1979: 1947: 1945: 387:is also used for drug preparations that contain 3338:Bulletin des Sociétés d'Ophtalmologie Française 358:The best-known species is the common foxglove, 19:"Foxglove" redirects here. For other uses, see 2043: 2041: 3361: 3359: 3159:Journal of the American College of Cardiology 2835:Journal of the American College of Cardiology 2235: 2233: 1991:"Etymologists at War with a Flower: Foxglove" 941:in 1821. He included two sections, a section 407:Hendrik Goltzius, A Foxglove in Bloom, 1592, 8: 3272:Canadian poisonous plants information system 2831:"Digitalis and the autonomic nervous system" 2187: 2185: 2183: 1604:(decreased heart rate) or if severe enough, 947:including two species, and the main section 581:& O'Shan.) Albach, Bräuchler & Heubl 2074: 2072: 905:in 1821, but it was considered a hybrid of 347:research led taxonomists to move it to the 3591: 3368:"Xanthopsia and van Gogh's yellow palette" 1533:. To reveal the hybridised transcripts, a 1218:was subsumed at the infraspecific rank as 1172:, increasing the number of species to 23. 47: 38: 3458: 3386: 3170: 3054: 3044: 2846: 2797: 2693: 2643:"Medications Used to Treat Heart Failure" 2617: 2576: 2213: 1931:De historia stirpium commentarii insignes 1902: 1787: 1461:Digitalis also has a vagal effect on the 436:Notable comments on the history of plants 432:De historia stirpium commentarii insignes 1772:"Disintegration of the Scrophulariaceae" 1666: 3131:. John Wiley & Sons. p. 631. 3082:(8th ed.). New York: McGraw-Hill. 1672: 1670: 1433:and a triple-repeating sugar called a 2955:. Minnesota Department of Agriculture 1853:"Foxglove and other poisonous plants" 7: 3923:8a56666c-dc15-4191-9755-6f0315db6869 3848:908335e3-196c-4f4b-897c-202a2877b427 3414:from the original on 30 October 2018 3220:. Xlibris Corporation. p. 290. 2133:from the original on 2 December 2021 1317:mycobacterial cervical lymphadenitis 937:regarding this genus was written by 3439:British Journal of General Practice 3080:Goldfrank's Toxicologic Emergencies 1830:. Dorling Kindersley. p. 377. 1826:Brickell, Christopher, ed. (2008). 3887:urn:lsid:ipni.org:names:30112738-2 3435:"Vincent van Gogh's yellow vision" 2829:Watanabe, August M. (1 May 1985). 2754:Trends in Pharmacological Sciences 2476:. Birmingham, England: M. Swinney. 1851:Trust, Woodland (7 January 2020). 1412:Digitalis purpurea -- light purple 14: 3565:Molecule of the Month - Digitalis 3336:Lanthony, P. (October 1989). "". 2600:Weisse, Allen B. (January 2010). 2275:Luckner, M.; Wichtl, Max (2000). 1952:Klingaman, Gerald (17 May 2002). 1569:Digitalis intoxication, known as 3315:10.1001/jama.1981.03310320049025 3203:"European Resuscitation Council" 2925:Glick, Bernard R. (4 May 2018). 2451:. BMJ & Pharmaceutical Press 2445:"BNF (only available in the UK)" 1504:in situ and label DNA, RNA, and 1391:Heart Failure Society of America 1226:. This study listed 23 species: 1160:should be placed in the section 1035:, which was also called section 278: 234: 70: 2318:Plant Systematics and Evolution 1879:"Plants and cardiac glycosides" 1649:According to 1981 speculation, 1626:anti-digoxin antibody fragments 1496:. Digoxigenin can be used as a 1492:species, and is extracted from 1319:), for "the falling sickness" ( 2976:Lewis Dictionary of Toxicology 2619:10.1016/j.cardfail.2009.08.001 2365:Natural History Museum, London 1463:parasympathetic nervous system 1445:Digitalis works by inhibiting 1400:use foxglove to treat eczema. 1287:eat the leaves, including the 1194:contained as distinct species 1043:. It included, along with the 1: 2848:10.1016/S0735-1097(85)80461-7 1954:"Plant of the Week: Foxglove" 1877:Hollman, A (September 1985). 223:Pink common foxglove with bee 3127:Abou-Donia, Mohamed (2015). 2766:10.1016/0165-6147(85)90136-1 2649:. American Heart Association 1178:, an expert on the flora of 966:were separated in the genus 3503:10.1016/j.yebeh.2020.107258 3433:Gruener, Anna (July 2013). 2974:Lewis, Robert Alan (1998). 2725:Watts, D. C. (2 May 2007). 2557:BMJ (Clinical Research Ed.) 2470:Withering, William (1785). 2419:Culpeper, Nicholas (1652). 1596:via a direct effect on the 200:Over 20 species, see text: 3990: 3583:Collier's New Encyclopedia 3216:Lee Lopez, Orchid (2011). 3172:10.1016/j.jacc.2006.07.009 2978:. CRC Press. p. 387. 2931:. CRC Press. p. 183. 2606:Journal of Cardiac Failure 2547:Hollman, A. (April 1996). 2422:The English Physician, Etc 2108:10.11646/phytotaxa.244.3.3 1776:American Journal of Botany 1691:Royal Botanic Gardens, Kew 1686:Plants of the World Online 1544: 1475:sympathetic nervous system 505:Plants of the World Online 391:, particularly one called 25: 18: 3101:. StatPearls Publishing. 3078:Goldfrank, L. W. (2006). 3046:10.1186/s13104-015-1367-6 2731:. Elsevier. p. 129. 2330:10.1007/s00606-004-0145-z 1746:"Definition of DIGITALIS" 1713:Oxford English Dictionary 1136:In their 2000 book about 438:), based upon the German 198: 193: 67:Scientific classification 65: 55: 46: 41: 21:Foxglove (disambiguation) 2799:10.1161/circ.104.17.2118 2728:Dictionary of Plant Lore 2569:10.1136/bmj.312.7035.912 2192:Kreis, Wolfgang (2017). 2174:10.1002/fedr.19650700106 2063:10.5962/bhl.title.160067 1632:adolescents and adults. 1387:congestive heart failure 884:Digitalis × purpurascens 448:The name is recorded in 3491:Epilepsy & Behavior 2674:British Medical Journal 2489:British Medical Journal 1750:www.merriam-webster.com 1608:. The direct effect of 1447:sodium-potassium ATPase 1289:lesser yellow underwing 1182:, had used a different 1152:, and that the species 1110:included four species: 1074:included five species: 913:by the German botanist 409:National Gallery of Art 2896:10.1378/chest.72.6.714 1562: 1451:sarcoplasmic reticulum 1413: 1273: 860:Digitalis × macedonica 412: 224: 216: 3969:Antiarrhythmic agents 3964:Plantaginaceae genera 3451:10.3399/bjgp13X669266 2215:10.1055/s-0043-111240 1883:British Heart Journal 1594:atrioventricular node 1554: 1411: 1313:The English Physician 1265: 1041:Vernon Hilton Heywood 839:Digitalis × coutinhoi 820:Digitalis viridiflora 655:Digitalis isabelliana 632:Digitalis grandiflora 524:Digitalis canariensis 406: 222: 210: 3264:"Notes on poisoning: 3129:Mammalian Toxicology 3095:"Digitalis Toxicity" 2240:Wichtl, Max (2001). 2156:(Lindl.) Benth. und 1989:(10 November 2010). 1895:10.1136/hrt.54.3.258 1531:alkaline phosphatase 1471:an accessory pathway 1379:antiarrhythmic agent 1242:were not mentioned. 879:Zerbst & Bocquet 756:Digitalis parviflora 620:Digitalis fuscescens 611:Digitalis ferruginea 573:Digitalis chalcantha 556:Digitalis cedretorum 3388:10.1038/eye.1991.93 1467:atrial fibrillation 1441:Mechanism of action 1383:atrial fibrillation 1369:) is obtained from 1357:extract containing 1176:Peter Hadland Davis 962:(four species from 810:Digitalis transiens 789:Digitalis subalpina 674:Digitalis lamarckii 664:Digitalis laevigata 599:Digitalis davisiana 536:Digitalis cariensis 514:Digitalis atlantica 32:Paulownia tomentosa 3535:(10 August 2017). 3497:(107258): 107258. 3278:on 13 October 2011 3033:BMC Research Notes 3003:"Digoxin Toxicity" 2953:"GRECIAN FOXGLOVE" 2208:(12–13): 962–976. 2162:Feddes Repertorium 1645:In popular culture 1610:cardiac glycosides 1600:. This results in 1563: 1556:Digitalis purpurea 1414: 1359:cardiac glycosides 1274: 1269:Digitalis purpurea 778:Digitalis sceptrum 768:Digitalis purpurea 668:Waldst. & Kit. 484:Digitalis purpurea 422:is from the Latin 413: 389:cardiac glycosides 361:Digitalis purpurea 328:, commonly called 225: 217: 61:(Common foxglove) 58:Digitalis purpurea 3946: 3945: 3856:Open Tree of Life 3597:Taxon identifiers 3541:The Guardian (UK) 3344:(10): 1133–1134. 3266:Digitalis purpura 2985:978-1-56670-223-2 2938:978-1-351-09139-8 2792:(17): 2118–2150. 2738:978-0-08-054602-5 2686:10.1136/bmj.h4451 2501:10.1136/bmj.b2189 2393:Trust, Woodland. 2089:(Plantaginaceae)" 1987:Liberman, Anatoly 1547:Digoxin poisoning 1363:William Withering 1337:therapeutic index 1309:Nicholas Culpeper 1293:common carder bee 978:, along with the 900: 888: 880: 876:Digitalis × pelia 872: 868:Digitalis × media 864: 856: 851:Digitalis × fulva 846: 827: 815: 805: 795: 785: 773: 763: 751: 746:Digitalis obscura 741: 726:Digitalis nervosa 721: 711: 706:Digitalis mariana 701: 691: 679: 669: 659: 651: 643:Digitalis ikarica 639: 627: 616: 606: 594: 587:Digitalis ciliata 582: 568: 551: 531: 519: 205: 204: 189: 3981: 3974:Medicinal plants 3939: 3938: 3926: 3925: 3913: 3912: 3903: 3902: 3890: 3889: 3877: 3876: 3864: 3863: 3851: 3850: 3841: 3840: 3828: 3827: 3825:NHMSYS0000458091 3815: 3814: 3802: 3801: 3789: 3788: 3776: 3775: 3763: 3762: 3750: 3749: 3737: 3736: 3724: 3723: 3711: 3710: 3698: 3697: 3685: 3684: 3672: 3671: 3662: 3661: 3649: 3648: 3639: 3638: 3637: 3624: 3623: 3622: 3592: 3587: 3579: 3577:"Foxglove"  3552: 3551: 3549: 3547: 3529: 3523: 3522: 3486: 3480: 3479: 3477: 3475: 3462: 3445:(612): 370–371. 3430: 3424: 3423: 3421: 3419: 3413: 3390: 3372: 3363: 3354: 3353: 3333: 3327: 3326: 3301:intoxication?". 3294: 3288: 3287: 3285: 3283: 3259: 3253: 3252: 3250: 3248: 3238: 3232: 3231: 3213: 3207: 3206: 3199: 3193: 3192: 3174: 3149: 3143: 3142: 3124: 3118: 3117: 3115: 3113: 3090: 3084: 3083: 3075: 3069: 3068: 3058: 3048: 3024: 3018: 3017: 3015: 3013: 2999: 2993: 2992: 2971: 2965: 2964: 2962: 2960: 2949: 2943: 2942: 2922: 2916: 2915: 2875: 2869: 2868: 2850: 2826: 2820: 2819: 2801: 2776: 2770: 2769: 2749: 2743: 2742: 2722: 2716: 2715: 2697: 2665: 2659: 2658: 2656: 2654: 2638: 2632: 2631: 2621: 2597: 2591: 2590: 2580: 2551:Digitalis lanata 2544: 2538: 2537: 2519: 2513: 2512: 2484: 2478: 2477: 2467: 2461: 2460: 2458: 2456: 2441: 2435: 2434: 2432: 2430: 2416: 2410: 2409: 2407: 2405: 2390: 2384: 2383: 2381: 2379: 2373:10.5519/havt50xw 2348: 2342: 2341: 2324:(1–4): 111–128. 2305: 2294: 2293: 2272: 2266: 2265: 2263: 2261: 2237: 2228: 2227: 2217: 2194:"The Foxgloves ( 2189: 2178: 2177: 2168:(1–3): 109–135. 2149: 2143: 2142: 2140: 2138: 2132: 2093: 2076: 2067: 2066: 2045: 2036: 2035: 2020: 2014: 2013: 2008: 2006: 1997:. Archived from 1983: 1974: 1973: 1971: 1969: 1964:on 22 April 2020 1960:. Archived from 1949: 1940: 1939: 1923: 1917: 1916: 1906: 1874: 1868: 1867: 1865: 1863: 1848: 1842: 1841: 1823: 1817: 1816: 1814: 1812: 1791: 1767: 1761: 1760: 1758: 1756: 1742: 1736: 1735: 1724: 1718: 1709: 1703: 1702: 1700: 1698: 1674: 1651:Vincent van Gogh 1506:oligonucleotides 1481:Molecular probes 1469:(unless there's 923: 899:(Lindley) Werner 898: 886: 878: 870: 862: 854: 842: 823: 813: 803: 800:Digitalis thapsi 791: 781: 771: 759: 749: 729: 719: 709: 699: 687: 684:Digitalis lanata 677: 667: 657: 645: 635: 622: 614: 602: 590: 576: 559: 539: 527: 517: 457:Henry Fox Talbot 341:Scrophulariaceae 319: 318: 315: 314: 311: 308: 305: 302: 299: 296: 293: 290: 287: 284: 275: 274: 271: 270: 267: 264: 261: 258: 255: 252: 249: 246: 243: 240: 181: 75: 74: 51: 39: 3989: 3988: 3984: 3983: 3982: 3980: 3979: 3978: 3949: 3948: 3947: 3942: 3934: 3929: 3921: 3916: 3908: 3906: 3898: 3893: 3885: 3880: 3872: 3867: 3859: 3854: 3846: 3844: 3836: 3831: 3823: 3818: 3810: 3805: 3797: 3792: 3784: 3779: 3771: 3766: 3758: 3753: 3745: 3740: 3732: 3727: 3719: 3714: 3706: 3701: 3693: 3688: 3680: 3675: 3667: 3665: 3657: 3652: 3644: 3642: 3633: 3632: 3627: 3618: 3617: 3612: 3599: 3574: 3561: 3556: 3555: 3545: 3543: 3533:Harkup, Kathryn 3531: 3530: 3526: 3488: 3487: 3483: 3473: 3471: 3432: 3431: 3427: 3417: 3415: 3411: 3370: 3365: 3364: 3357: 3335: 3334: 3330: 3296: 3295: 3291: 3281: 3279: 3261: 3260: 3256: 3246: 3244: 3240: 3239: 3235: 3228: 3215: 3214: 3210: 3201: 3200: 3196: 3151: 3150: 3146: 3139: 3126: 3125: 3121: 3111: 3109: 3092: 3091: 3087: 3077: 3076: 3072: 3026: 3025: 3021: 3011: 3009: 3001: 3000: 2996: 2986: 2973: 2972: 2968: 2958: 2956: 2951: 2950: 2946: 2939: 2924: 2923: 2919: 2877: 2876: 2872: 2828: 2827: 2823: 2778: 2777: 2773: 2751: 2750: 2746: 2739: 2724: 2723: 2719: 2667: 2666: 2662: 2652: 2650: 2640: 2639: 2635: 2599: 2598: 2594: 2546: 2545: 2541: 2534: 2524:Economic Botany 2521: 2520: 2516: 2486: 2485: 2481: 2469: 2468: 2464: 2454: 2452: 2443: 2442: 2438: 2428: 2426: 2418: 2417: 2413: 2403: 2401: 2392: 2391: 2387: 2377: 2375: 2350: 2349: 2345: 2307: 2306: 2297: 2290: 2274: 2273: 2269: 2259: 2257: 2239: 2238: 2231: 2191: 2190: 2181: 2151: 2150: 2146: 2136: 2134: 2130: 2091: 2078: 2077: 2070: 2047: 2046: 2039: 2022: 2021: 2017: 2004: 2002: 1985: 1984: 1977: 1967: 1965: 1951: 1950: 1943: 1927:Fuchs, Leonhart 1925: 1924: 1920: 1876: 1875: 1871: 1861: 1859: 1850: 1849: 1845: 1838: 1825: 1824: 1820: 1810: 1808: 1789:10.2307/2657024 1769: 1768: 1764: 1754: 1752: 1744: 1743: 1739: 1726: 1725: 1721: 1710: 1706: 1696: 1694: 1676: 1675: 1668: 1663: 1647: 1549: 1543: 1498:molecular probe 1483: 1443: 1406: 1329: 1306: 1304:Historical uses 1301: 1260: 1184:circumscription 1022:contained only 974:In the section 933:The first full 931: 917: 834: 716:Digitalis minor 696:Digitalis lutea 658:(Webb) Linding. 474: 469: 440:vernacular name 417:generic epithet 401: 281: 277: 237: 233: 213:Digitalis lutea 180: 69: 35: 24: 17: 12: 11: 5: 3987: 3985: 3977: 3976: 3971: 3966: 3961: 3951: 3950: 3944: 3943: 3941: 3940: 3936:wfo-4000011699 3927: 3914: 3904: 3891: 3878: 3865: 3852: 3842: 3829: 3816: 3803: 3790: 3777: 3764: 3751: 3738: 3725: 3712: 3699: 3686: 3673: 3663: 3650: 3640: 3625: 3609: 3607: 3601: 3600: 3595: 3589: 3588: 3572: 3570:eMedicine link 3567: 3560: 3559:External links 3557: 3554: 3553: 3524: 3481: 3425: 3381:(5): 503–510. 3355: 3328: 3309:(7): 727–729. 3289: 3254: 3233: 3226: 3208: 3194: 3144: 3137: 3119: 3085: 3070: 3019: 2994: 2984: 2966: 2944: 2937: 2917: 2890:(6): 714–718. 2870: 2841:(5): 35A–42A. 2821: 2771: 2744: 2737: 2717: 2660: 2633: 2592: 2539: 2532: 2514: 2479: 2462: 2436: 2411: 2399:Woodland Trust 2385: 2343: 2295: 2288: 2267: 2229: 2179: 2144: 2068: 2037: 2026:Flora Europaea 2015: 1975: 1941: 1918: 1889:(3): 258–261. 1869: 1857:Woodland Trust 1843: 1836: 1818: 1782:(2): 348–361. 1762: 1737: 1732:Dictionary.com 1719: 1704: 1665: 1664: 1662: 1659: 1646: 1643: 1545:Main article: 1542: 1539: 1529:conjugated to 1482: 1479: 1442: 1439: 1405: 1402: 1328: 1327:Medicinal uses 1325: 1305: 1302: 1300: 1297: 1259: 1256: 1158:D. viridiflora 1134: 1133: 1123:D. viridiflora 1105: 1069: 1048:D. grandiflora 1029: 1012: 970:at the time): 930: 927: 926: 925: 907:D. grandiflora 889: 881: 873: 865: 857: 847: 833: 830: 829: 828: 816: 806: 796: 786: 774: 764: 752: 742: 722: 712: 702: 692: 680: 670: 660: 652: 640: 628: 617: 607: 595: 583: 569: 552: 532: 520: 502:. As of 2017, 479:Flora Europaea 473: 470: 468: 465: 428:Leonhart Fuchs 400: 397: 370:D. grandiflora 353:Plantaginaceae 203: 202: 196: 195: 191: 190: 173: 169: 168: 163: 159: 158: 156:Plantaginaceae 153: 149: 148: 143: 139: 138: 133: 126: 125: 120: 113: 112: 107: 100: 99: 94: 87: 86: 81: 77: 76: 63: 62: 53: 52: 44: 43: 15: 13: 10: 9: 6: 4: 3: 2: 3986: 3975: 3972: 3970: 3967: 3965: 3962: 3960: 3957: 3956: 3954: 3937: 3932: 3928: 3924: 3919: 3915: 3911: 3905: 3901: 3896: 3892: 3888: 3883: 3879: 3875: 3870: 3866: 3862: 3857: 3853: 3849: 3843: 3839: 3834: 3830: 3826: 3821: 3817: 3813: 3808: 3804: 3800: 3795: 3791: 3787: 3782: 3778: 3774: 3769: 3765: 3761: 3756: 3752: 3748: 3743: 3739: 3735: 3730: 3726: 3722: 3717: 3713: 3709: 3704: 3700: 3696: 3691: 3687: 3683: 3678: 3674: 3670: 3664: 3660: 3655: 3651: 3647: 3641: 3636: 3630: 3626: 3621: 3615: 3611: 3610: 3608: 3606: 3602: 3598: 3593: 3585: 3584: 3578: 3573: 3571: 3568: 3566: 3563: 3562: 3558: 3542: 3538: 3534: 3528: 3525: 3520: 3516: 3512: 3508: 3504: 3500: 3496: 3492: 3485: 3482: 3470: 3466: 3461: 3456: 3452: 3448: 3444: 3440: 3436: 3429: 3426: 3410: 3406: 3402: 3398: 3394: 3389: 3384: 3380: 3376: 3369: 3362: 3360: 3356: 3351: 3347: 3343: 3340:(in French). 3339: 3332: 3329: 3324: 3320: 3316: 3312: 3308: 3304: 3300: 3293: 3290: 3277: 3273: 3269: 3267: 3258: 3255: 3243: 3237: 3234: 3229: 3227:9781456862749 3223: 3219: 3212: 3209: 3204: 3198: 3195: 3190: 3186: 3182: 3178: 3173: 3168: 3164: 3160: 3156: 3148: 3145: 3140: 3138:9781118683316 3134: 3130: 3123: 3120: 3108: 3104: 3100: 3096: 3089: 3086: 3081: 3074: 3071: 3066: 3062: 3057: 3052: 3047: 3042: 3038: 3034: 3030: 3023: 3020: 3008: 3004: 2998: 2995: 2991: 2987: 2981: 2977: 2970: 2967: 2954: 2948: 2945: 2940: 2934: 2930: 2929: 2921: 2918: 2913: 2909: 2905: 2901: 2897: 2893: 2889: 2885: 2881: 2874: 2871: 2866: 2862: 2858: 2854: 2849: 2844: 2840: 2836: 2832: 2825: 2822: 2817: 2813: 2809: 2805: 2800: 2795: 2791: 2787: 2783: 2775: 2772: 2767: 2763: 2759: 2755: 2748: 2745: 2740: 2734: 2730: 2729: 2721: 2718: 2713: 2709: 2705: 2701: 2696: 2691: 2687: 2683: 2679: 2675: 2671: 2664: 2661: 2648: 2647:www.heart.org 2644: 2637: 2634: 2629: 2625: 2620: 2615: 2611: 2607: 2603: 2596: 2593: 2588: 2584: 2579: 2574: 2570: 2566: 2563:(7035): 912. 2562: 2558: 2554: 2552: 2543: 2540: 2535: 2533:9780072909388 2529: 2525: 2518: 2515: 2510: 2506: 2502: 2498: 2494: 2490: 2483: 2480: 2475: 2474: 2466: 2463: 2450: 2446: 2440: 2437: 2424: 2423: 2415: 2412: 2400: 2396: 2389: 2386: 2374: 2370: 2366: 2362: 2358: 2356: 2347: 2344: 2339: 2335: 2331: 2327: 2323: 2319: 2315: 2311: 2304: 2302: 2300: 2296: 2291: 2289:3-8047-1705-5 2285: 2281: 2277: 2271: 2268: 2256:(164): 89–100 2255: 2252:(in German). 2251: 2247: 2245: 2236: 2234: 2230: 2225: 2221: 2216: 2211: 2207: 2203: 2202:Planta Medica 2199: 2197: 2188: 2186: 2184: 2180: 2175: 2171: 2167: 2164:(in German). 2163: 2159: 2155: 2148: 2145: 2129: 2125: 2121: 2117: 2113: 2109: 2105: 2101: 2097: 2090: 2088: 2084: 2075: 2073: 2069: 2064: 2060: 2056: 2055: 2050: 2049:Lindley, John 2044: 2042: 2038: 2033: 2032:species list" 2031: 2027: 2019: 2016: 2012: 2001:on 8 May 2013 2000: 1996: 1992: 1988: 1982: 1980: 1976: 1963: 1959: 1955: 1948: 1946: 1942: 1938: 1937: 1932: 1928: 1922: 1919: 1914: 1910: 1905: 1900: 1896: 1892: 1888: 1884: 1880: 1873: 1870: 1858: 1854: 1847: 1844: 1839: 1837:9781405332965 1833: 1829: 1822: 1819: 1807: 1803: 1799: 1795: 1790: 1785: 1781: 1777: 1773: 1766: 1763: 1751: 1747: 1741: 1738: 1733: 1729: 1723: 1720: 1716: 1714: 1708: 1705: 1692: 1688: 1687: 1683: 1682:Tourn. ex L." 1681: 1673: 1671: 1667: 1660: 1658: 1656: 1652: 1644: 1642: 1640: 1639: 1633: 1629: 1627: 1623: 1619: 1615: 1611: 1607: 1603: 1599: 1598:vagal nucleus 1595: 1590: 1588: 1584: 1580: 1576: 1572: 1567: 1561: 1557: 1553: 1548: 1540: 1538: 1536: 1532: 1528: 1524: 1523:hybridisation 1520: 1519:transcription 1517: 1516: 1511: 1507: 1503: 1499: 1495: 1491: 1487: 1480: 1478: 1476: 1472: 1468: 1464: 1459: 1456: 1455:stroke volume 1452: 1448: 1440: 1438: 1436: 1432: 1427: 1423: 1419: 1410: 1403: 1401: 1399: 1398:Romani people 1395: 1392: 1388: 1384: 1380: 1376: 1372: 1368: 1364: 1360: 1356: 1355: 1351:. The use of 1350: 1345: 1343: 1338: 1334: 1326: 1324: 1322: 1318: 1314: 1310: 1303: 1298: 1296: 1294: 1290: 1286: 1282: 1278: 1271: 1270: 1264: 1257: 1255: 1253: 1249: 1245: 1244:D. parviflora 1241: 1240:D. fuscescens 1237: 1233: 1232:D. cedretorum 1229: 1225: 1221: 1217: 1213: 1209: 1205: 1201: 1200:D. ferruginea 1197: 1193: 1189: 1185: 1181: 1177: 1173: 1171: 1167: 1163: 1159: 1155: 1151: 1147: 1143: 1139: 1131: 1130: 1129:D. parviflora 1125: 1124: 1119: 1118: 1113: 1109: 1106: 1103: 1102: 1097: 1096: 1091: 1090: 1089:D. ferruginea 1085: 1084: 1079: 1078: 1073: 1070: 1067: 1066: 1061: 1060: 1055: 1054: 1049: 1046: 1042: 1038: 1034: 1030: 1027: 1026: 1021: 1017: 1013: 1010: 1009: 1004: 1003: 998: 997: 992: 991: 986: 985: 981: 977: 973: 972: 971: 969: 965: 961: 956: 954: 950: 946: 945: 940: 936: 928: 921: 916: 912: 908: 904: 897: 893: 890: 885: 882: 877: 874: 869: 866: 861: 858: 853: 852: 848: 845: 841: 840: 836: 835: 831: 826: 822: 821: 817: 812: 811: 807: 802: 801: 797: 794: 790: 787: 784: 780: 779: 775: 770: 769: 765: 762: 758: 757: 753: 748: 747: 743: 740: 736: 732: 728: 727: 723: 718: 717: 713: 708: 707: 703: 698: 697: 693: 690: 686: 685: 681: 676: 675: 671: 666: 665: 661: 656: 653: 649: 644: 641: 638: 634: 633: 629: 625: 621: 618: 613: 612: 608: 605: 601: 600: 596: 593: 589: 588: 584: 580: 575: 574: 570: 567: 563: 558: 557: 553: 550: 546: 542: 538: 537: 533: 530: 526: 525: 521: 516: 515: 511: 510: 509: 507: 506: 501: 497: 493: 492:D. leucophaea 489: 486:, or others: 485: 481: 480: 471: 466: 464: 462: 458: 454: 451: 446: 444: 441: 437: 433: 429: 425: 421: 418: 410: 405: 398: 396: 394: 390: 386: 381: 379: 378:D. parviflora 375: 371: 367: 366:D. ferruginea 363: 362: 356: 354: 350: 346: 342: 337: 333: 331: 327: 323: 317: 273: 231: 230: 221: 215: 214: 209: 201: 197: 192: 188: 184: 179: 178: 174: 171: 170: 167: 164: 161: 160: 157: 154: 151: 150: 147: 144: 141: 140: 137: 134: 131: 128: 127: 124: 121: 118: 115: 114: 111: 108: 105: 102: 101: 98: 97:Tracheophytes 95: 92: 89: 88: 85: 82: 79: 78: 73: 68: 64: 60: 59: 54: 50: 45: 40: 37: 33: 29: 22: 3604: 3581: 3544:. 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Index

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
Digitalis purpurea

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