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ECG showed sagging ST segment, biphasic T wave and atrial fibrillation with slow ventricular response. Laboratory/imaging work ups, including cerebrospinal fluid analysis, were unrevealing. Digoxin level was checked, showing 2.2 ng/ml.
31 paź 2002 · The effect of digoxin therapy differs between men and women. Digoxin therapy is associated with an increased risk of death from any cause among women, but not men, with heart failure and...
The electrocardiogram (ECG) revealed atypical atrial flutter alternating with atrial silence, with a ventricle response between 25 and 30 bpm (Fig. 1A). The ECG also demonstrated widespread ST segment depression of 1-2 mm with ST segment elevation in V1 and aVR (Fig. 1A).
19 sty 2023 · Digoxin kills the cells and poisons the tissues of the fetus. The kidneys excrete digoxin in direct proportion to the glomerular filtration rate; the liver metabolizes 16%. Digoxin has a half-life that varies from 36 to 48 hours, which may increase in cases of renal failure.
The diagnosis of digoxin toxicity is based primarily on clinical suspicion and clinical features (including ECG changes) suggestive of digoxin intoxication, and can be confirmed by assessment of serum digoxin levels.
We herein describe two cases with specific reference to the electrocardiographic changes induced by digoxin and discuss the predisposing factors for toxicity, recognition of possible toxicity and treatment approaches.
1 sty 2020 · Free to read. Share this article Share with email. Abstract. Digoxin is a commonly prescribed drug in the management of heart failure and atrial fibrillation. Despite its widespread use, most clinicians have little experience with recognising clinical signs and symptoms that might suggest a potentially lethal drug toxicity.
