• Eur J Emerg Med · Dec 2023

    Review

    Diagnosis and practical management of digoxin toxicity: a narrative review and consensus.

    • Paul Andrews, Kurt Anseeuw, Dipak Kotecha, Frédéric Lapostolle, and Ruben Thanacoody.
    • Torbay Hospital, Torbay and South Devon NHS Foundation Trust, Torquay, Devon, UK.
    • Eur J Emerg Med. 2023 Dec 1; 30 (6): 395401395-401.

    AbstractThere 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.Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

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