TY - JOUR
T1 - Diagnosis and practical management of digoxin toxicity
T2 - a narrative review and consensus
AU - Andrews, Paul
AU - Anseeuw, Kurt
AU - Kotecha, Dipak
AU - Lapostolle, Frédéric
AU - Thanacoody, Ruben
PY - 2023/12
Y1 - 2023/12
N2 - 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.
AB - 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.
UR - https://journals.lww.com/euro-emergencymed/pages/default.aspx
U2 - 10.1097/MEJ.0000000000001065
DO - 10.1097/MEJ.0000000000001065
M3 - Review article
SN - 0969-9546
VL - 30
SP - 395
EP - 401
JO - European Journal of Emergency Medicine
JF - European Journal of Emergency Medicine
IS - 6
ER -