Indication

Digitalis toxicity

Digitalis toxicity is a potentially life-threatening complication resulting from acute overdose or chronic accumulation of cardiac glycosides, most commonly digoxin. Read more about Digitalis toxicity

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About Digitalis toxicity.

Digitalis toxicity is a potentially life-threatening complication resulting from acute overdose or chronic accumulation of cardiac glycosides, most commonly digoxin.

It predominantly affects individuals receiving therapy for heart failure or atrial arrhythmias, particularly elderly patients or those with renal impairment, hypokalemia, or interacting medications.

Pathophysiologically, excess drug inhibits the sarcolemmal sodium-potassium ATPase pump, inducing intracellular calcium and sodium overload that increases cardiac automaticity while depressing atrioventricular conduction.

Clinically, toxicity manifests across the cardiovascular, gastrointestinal, and central nervous systems with gastrointestinal distress, altered mental status, visual disturbances such as chromatopsia, and an array of arrhythmogenic events ranging from bradyarrhythmias and heart blocks to fatal ventricular tachycardias.

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