Work

Vicious Rhythm of a Toxic Lady’s Glove

Year: 2025

Type: article

Abstract: Digitalis glycosides are among the oldest drugs used in cardiology. Despite the reduction in digoxin use and improved therapeutic monitoring, digoxin toxicity remains a significant cause of morbidity and mortality due to its use in specific cardiac diseases. Suspicion of digoxin toxicity should involve supportive care, discontinuation of the drug and administration of digoxin-specific antibody fragments. We present a case of a 62-year-old female with heart failure, who was administered intravenous digoxin for her presentation with atrial fibrillation having a fast ventricular rate. Subsequently, the patient had a junctional rhythm which was mistaken for controlled ventricular rate. This led to bidirectional tachycardia, the sine qua non of digitoxicity. The renal parameters were deranged. The patient was managed with antiarrhythmics and dialysis.

Source: Indian Journal of Cardiovascular Disease in Women

DOI: 10.25259/ijcdw_45_2024

Authors: Vaasanthi Chintala, Krishna Malakonda Reddy Parvathareddy, Ankith Reddy Motkar, Praveen Nagula

Institution: Osmania General Hospital

Language: English

Topic: Poisoning and overdose treatments

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411095633

FWCI: 2.153

Cites: 10

Cited by: 2

Related to: 10