good outcome after digoxin toxicity despite very high serum potassium level
نویسندگان
چکیده
منابع مشابه
Good Outcome after Digoxin Toxicity Despite Very High Serum Potassium Level
Dear Editor, Digoxin, as a cardiac glycoside extracted from the Digitalis lanata is widely used in the treatment of different heart diseases, such as atrial fibrillation, atrial flutter and heart failure. Its effect is to increase myocardial contractility while mildly prolonging the duration of contraction. The result is decreased heart rate, increased blood pressure and stroke volume, leading ...
متن کاملDigoxin toxicity with normal digoxin and serum potassium levels: beware of magnesium, the hidden malefactor.
BACKGROUND In recent years, digoxin use has been on the decline, with decreased incidence of digoxin toxicity. Hence, digoxin toxicity, when it occurs, remains an elusive diagnosis to emergency physicians. OBJECTIVE To present a case of digoxin toxicity with normal levels of digoxin and serum potassium, but with severe hypomagnesemia. CASE REPORT A 66-year-old woman presented with junctiona...
متن کاملDigoxin toxicity in Thai medical patients: clinical manifestations and an appropriate diagnostic serum level.
This study considers the clinical manifestations and risk factors of digoxin toxicity and establishes an appropriate cut-off serum level for the diagnosis of toxicity. A retrospectivestudy of 125 hospitalized patients whose serum digoxin was assayed in 1998 was conducted. Of the 125 subjects, 42 (33.6%) were classified as having definite digoxin toxicity, 9 (7.2%) were classified as having prob...
متن کاملDigoxin level and clinical manifestations as determinants in the diagnosis of digoxin toxicity.
The aim of this study was to determine the relative importance of different risk factors in the diagnosis of digitalis toxicity. The authors recruited inpatients for whom serum digoxin level was requested and prospectively followed them for a week to ascertain if they showed digitalis toxicity. The predictive value of different factors for the assessment of digoxin toxicity was analyzed by mult...
متن کاملThe serum digoxin test and digoxin toxicity: a Bayesian approach to decision making.
The clinician may often be uncertain about the presence of digoxin toxicity. This uncertainty is particularly important when the clinician must make initial therapeutic decisions about continuing or discontinuing digoxin. We describe a method that helps to clarify the role of the serum digoxin test in decreasing the uncertainty surrounding the diagnosis and treatment of toxicity. The relation b...
متن کاملGood outcome after posterior reversible encephalopathy syndrome (PRES) despite elevated cerebral lactate: a case report
Posterior reversible encephalopathy syndrome (PRES) may cause irreversible brain damage. The diagnosis is confirmed by magnetic resonance imaging (MRI), where vasogenic edema may be seen especially in the posterior parts of the brain. MR spectroscopy (MRS) may be included to help predict the outcome by measuring selected metabolites for instance lactate. Usually lactate is immeasurable in brain...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
iranian red crescent medical journalجلد ۱۳، شماره ۹، صفحات ۶۸۰-۶۸۱
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023