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Contributor: Chris Holmes, MD Educational Pearls: - Foxglove plant contains the cardiac glycoside digoxin
- Foxglove leaf potions were once used to treat Dropsy; a historic term for symptoms of heart failure
- Digoxin, previously used for treating heart failure, works by increases heart contraction strength and slows heart rate
- Of note, the EKG of patient on digitalis may have a ‘Dali Mustache’ appearance
- Digoxin toxicity can lead to a variety of dysrhythmias as well as neurological, GI, and metabolic effects
- Treatment of digoxin toxicity is digoxin-immune fab, which is an antibody that binds digoxin
References David MNV, Shetty M. Digoxin. [Updated 2021 Dec 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556025/ Cummings ED, Swoboda HD. Digoxin Toxicity. [Updated 2021 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470568/?report=classic Summarized by Kirsten Hughes, MS4 | Edited by John Spartz MS4 & Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account. Donate to EMM today! |