title: Digitalis toxicity: ECG vignette.
abstract: "Digitalis toxicity, often candidly indexed as poisoning, has plagued the medical profession for over 200 years. The situation qualifies as a professional disgrace on the basis of three items: the situation persists, physicians are often slow to recognize it and, over the decades, writers have been harsh in their denunciation of fellow physicians when toxicity has occurred…." These are the opening remarks of an essay published in 1983 on the 2nd centenary of William Withering's 'magic potion from foxglove's extract for dropsy.' Even today, after many decades, these words appear relevant! We present and discuss an interesting ECG of digitalis toxicity.
authors.affiliation: Cardiologist, Medanta Hospital, Indore, India. Electronic address: draniruddhavyas@gmail.com.
authors.forename: Aniruddha
authors.initials: A
authors.lastname: Vyas
authors.affiliation: Holy Family Hospital, Mumbai, India.
authors.forename: Neeta
authors.initials: N
authors.lastname: Bachani
authors.affiliation: Consulting Physician, Mumbai, India.
authors.forename: Hrishikesh
authors.initials: H
authors.lastname: Thakur
authors.affiliation: Consultant Cardiologist, Mumbai, India.
authors.forename: Yash
authors.initials: Y
authors.lastname: Lokhandwala
mesh_terms: D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000097:blood / Q000188:drug therapy* / Q000503:physiopathology; D002316:Cardiotonic Agents / Q000009:adverse effects / Q000493:pharmacokinetics; D004077:Digoxin / Q000009:adverse effects* / Q000493:pharmacokinetics; D004562:Electrocardiography / Q000187:drug effects*; D005260:Female; D006329:Heart Conduction System / Q000187:drug effects / Q000503:physiopathology; D006801:Humans; D017180:Tachycardia, Ventricular / Q000139:chemically induced* / Q000503:physiopathology
chemical_list: D002316:Cardiotonic Agents; D004077:Digoxin
keywords: Digitalis toxicity; Escape capture bigeminy; Sino atrial arrest in digoxin toxicity