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- W3032281567 abstract "A 72-years-old woman mistook digoxin 40 tablets (10 mg) within 7 days for chronic cardiac insufficiency. She developed nausea, vomiting, blurred vision, xanthopsia, chloropsia and dizziness. After admission, her heart rate was 38 beats/min and blood pressure was 135/75 mmHg. Electrocardiogram revealed atrial fibrillation with 3rd degree atrioventricular block. Digitalis poisoning was diagnosed. She was given oral theophylline 200 mg, intramuscular injection of 10 mg anisodamine. After 2.5 hours, the heart rate did not significantly change. She was given intramuscular injection of atropine 0.5 mg, intravenous infusion of atropine 0.5 mg and 1.0 mg once every 0.5 hour. Her heart rate continued to decline, the lowest heart rate was 19 beats/min, and developed unconsciousness and hallucination. She received isoprenaline 1 mg by a continuous infusion pump delivering 0.5 μg per minute. The heart rate was maintained at about 40 beats/min. On day 2, the patient regained consciousness. Electrocardiogram showed atrial fibrillation with ventricular bigeminy. Isoprenaline was stopped and ventricular bigeminy disappeared. Her heart rate was 38 times/min. On day 5, the blurred vision, xanthopsia and chloropsia disappeared. On day 6, the nausea and vomiting disappeared. On day 8, the electrocardiogram revealed atrial fibrillation with a heart rate of 54 beats/min.Key words: Digoxin; Atrial fibrillation; Atrioventricular block" @default.
- W3032281567 created "2020-06-05" @default.
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- W3032281567 date "2015-08-28" @default.
- W3032281567 modified "2023-09-27" @default.
- W3032281567 title "Digoxin excessiving resulted atrial fibrillation with III degree atrioventricular block" @default.
- W3032281567 doi "https://doi.org/10.3760/cma.j.issn.1008-5734.2015.04.024" @default.
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