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Clinicians should not use digoxin in ventricular pre-excitation syndromes such as Wolff-Parkinson-White (WPW), as it may shorten the refractory period of the accessory pathway, trigger rapid ventricular conduction, and cause hemodynamic collapse or sudden cardiac death (56)(58)

Scenario A: The Diabetic Patient You see a patient for a follow-up

Its mode of action includes: Inhibition of Pro-Inflammatory Pathways: KPV suppresses NF-B and MAPK signaling cascades, reducing cytokine production and inflammatory responses