A myriad of electrocardiographic findings associated with digoxin use

Singapore Med J. 2020 Jan;61(1):9-14. doi: 10.11622/smedj.2020005.

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. 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.

Keywords: ECG; digoxin; toxicity.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Arrhythmia Agents / adverse effects*
  • Digoxin / adverse effects*
  • Electrocardiography*
  • Female
  • Heart Failure / drug therapy
  • Humans

Substances

  • Anti-Arrhythmia Agents
  • Digoxin