Diagnosis and practical management of digoxin toxicity: a narrative review and consensus.
Andrews, Paul ; Anseeuw, Kurt ; Kotecha, Dipak ; Lapostolle, Frédéric ; Thanacoody, Ruben
Andrews, Paul
Anseeuw, Kurt
Kotecha, Dipak
Lapostolle, Frédéric
Thanacoody, Ruben
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2023-08-25
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Abstract
There are currently no universally accepted guidelines for the management of digoxin toxicity. In the absence of clinical practice guidelines, a set of consensus recommendations for management of digoxin toxicity in the clinical setting were developed through a modified Delphi approach. The recommendations highlight the importance of early recognition of signs of potentially life-threatening toxicity that requires immediate treatment with digoxin-specific antibodies. The consensus identifies a straightforward approach to dosing immune antibody fragments according to the presence or absence of signs of life-threatening toxicity. Supportive measures and management of specific signs of toxicity are also covered.
Citation
ndrews, P., Anseeuw, K., Kotecha, D., Lapostolle, F., & Thanacoody, R. (2023). Diagnosis and practical management of digoxin toxicity: a narrative review and consensus. European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 10.1097/MEJ.0000000000001065. Advance online publication. https://doi.org/10.1097/MEJ.0000000000001065
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