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Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block
A 76-year-old female, with medical history significant for systolic congestive heart failure, who presented to the emergency department with lethargy and abdominal pain with diarrhea for the past 3 weeks. Due to hypotension, the patient received multiple boluses of isotonic saline and was started on...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5201064/ https://www.ncbi.nlm.nih.gov/pubmed/28104974 http://dx.doi.org/10.4103/0976-0105.195128 |
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author | Gill, Dalvir Zaidi, Samana |
author_facet | Gill, Dalvir Zaidi, Samana |
author_sort | Gill, Dalvir |
collection | PubMed |
description | A 76-year-old female, with medical history significant for systolic congestive heart failure, who presented to the emergency department with lethargy and abdominal pain with diarrhea for the past 3 weeks. Due to hypotension, the patient received multiple boluses of isotonic saline and was started on norepinephrine. Laboratories were significant for severe digoxin toxicity (29 ng/mL), in setting of acute kidney injury. Electrocardiogram (EKG) revealed a new right bundle branch block (RBBB). She was given Digibind and her repeat digoxin level was 20 ng/mL. Repeat EKG showed resolved RBBB. This case identifies that patients with digoxin toxicity are at risk for RBBB. This is a rare finding and is not commonly recognized. Emergency medicine physicians are often the first to encounter patients with digoxin toxicity and need to be aware of such EKG findings. |
format | Online Article Text |
id | pubmed-5201064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-52010642017-01-19 Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block Gill, Dalvir Zaidi, Samana J Basic Clin Pharm Case Report A 76-year-old female, with medical history significant for systolic congestive heart failure, who presented to the emergency department with lethargy and abdominal pain with diarrhea for the past 3 weeks. Due to hypotension, the patient received multiple boluses of isotonic saline and was started on norepinephrine. Laboratories were significant for severe digoxin toxicity (29 ng/mL), in setting of acute kidney injury. Electrocardiogram (EKG) revealed a new right bundle branch block (RBBB). She was given Digibind and her repeat digoxin level was 20 ng/mL. Repeat EKG showed resolved RBBB. This case identifies that patients with digoxin toxicity are at risk for RBBB. This is a rare finding and is not commonly recognized. Emergency medicine physicians are often the first to encounter patients with digoxin toxicity and need to be aware of such EKG findings. Medknow Publications & Media Pvt Ltd 2016-12 /pmc/articles/PMC5201064/ /pubmed/28104974 http://dx.doi.org/10.4103/0976-0105.195128 Text en Copyright: © Journal of Basic and Clinical Pharmacy http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Gill, Dalvir Zaidi, Samana Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block |
title | Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block |
title_full | Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block |
title_fullStr | Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block |
title_full_unstemmed | Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block |
title_short | Rare Manifestation of Digoxin Toxicity: Right Bundle Branch Block |
title_sort | rare manifestation of digoxin toxicity: right bundle branch block |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5201064/ https://www.ncbi.nlm.nih.gov/pubmed/28104974 http://dx.doi.org/10.4103/0976-0105.195128 |
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