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February 12, 1959New England Journal of Medicine

Digitalis and Atrial Tachycardia with Block

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Why the study?

Does digitalis overdosage cause paroxysmal atrial tachycardia with block in patients with congestive heart failure?

Population

Patients with congestive heart failure

Design

Review

Authors

BLBernard LownGMGregory M. MarcusHLHarold Levine

Discussion

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Overview

May indicate digitalis toxicity in paroxysmal atrial tachycardia with block, warranting discontinuation rather than escalation; challenges consensus on digitalis for supraventricular tachycardias.

Structured PICO

Does digitalis overdosage cause paroxysmal atrial tachycardia with block in patients with congestive heart failure?

P
Population
Patients with congestive heart failure
I
Intervention
Digitalis
O
Outcome
Digitalis-induced atrial arrhythmias (specifically paroxysmal atrial tachycardia with block)safety

Highlights the danger of digitalis-induced atrial tachycardia with block and the hazard of misdiagnosing it as a standard supraventricular tachycardia requiring more digitalis.

Cite This Study

Lown et al. (1959) studied this question.

synapsesocial.com/papers/6a1bd73f1567d2fc4d5f1e4bhttps://doi.org/10.1056/nejm195902122600701
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