Digoxin toxicity

Digoxin toxicity causes a variety of arrhythmias. It is classically associated with supraventricular tachycardias but a slow ventricular response, e.g. atrial tachycardia with 2:1 block. It may also cause sinus bradycardia, slow or regularised AF, AV blocks, PVCs or VT.

Digoxin toxicity should be separated from the normal digoxin effect that can occur in patients taking the expected dose of digoxin. The digoxin effect includes sagging ST segment depression, abnormal T waves (flat, inverted or biphasic) and a short QT.

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In the ECGquest archives, this ECG has been tagged with: - Rhythm Strip Accelerated junctional rhythm Digoxin toxicity ECG Guru CC-BY-NC-SA
Accelerated Junctional Rhythm Overriding Normal Sinus Rhythm 1413
In the ECGquest archives, this ECG has been tagged with: - Weakness 12-Lead Bradycardia Wide QRS Digoxin toxicity Hyperkalemia ECG Guru CC-BY-NC-SA
Wide Complex Bradycardia in Digitalis Toxic Patient 6032