Key result
Digoxin cessation and symptomatic management resolve intoxication symptoms and pathognomonic ECG findings.
Why the study?
Digoxin has a narrow therapeutic index posing a significant risk of toxicity, requiring detailed analysis of associated ECG abnormalities and visual disturbances to aid prompt diagnosis and management.
Case Report (n=2)
No
Familiarity with pathognomonic ECG findings like Dali's mustache sign and visual disturbances such as colored floaters is crucial for the prompt diagnosis and management of digoxin intoxication.
Alerts clinicians to digoxin toxicity signs in elderly patients; leaves open need for prospective studies on management.
Digoxin, a widely prescribed cardiac glycoside, is known for its therapeutic benefits in managing various cardiac conditions. However, its narrow therapeutic index poses a significant risk of toxicity. We present two cases of digoxin intoxication with pathognomic electrocardiographic (ECG) findings and visual disturbances. The detailed analysis of ECG abnormalities and visual disturbances associated with digoxin toxicity will aid in prompt diagnosis and appropriate management, ultimately improving patient outcomes
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Engindeniz et al. (2024) conducted a case report in Digoxin intoxication (n=2). Digoxin cessation and symptomatic management was evaluated on Resolution of symptoms and normalization of digoxin levels. Cessation of digoxin and symptomatic management successfully resolved symptoms of digoxin intoxication, including pathognomonic ECG findings and visual disturbances, in two elderly female patients.
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