Eurasian Journal of Toxicology

Yazarlar: Hatice Şeyma AKÇA, Abdullah ALGIN, Serdar ÖZDEMİR, Kamil KOKULU, İbrahim ALTUNOK

Konular:Toksikoloji, Acil Tıp

Anahtar Kelimeler:Digoxin intoxication,Digoxin levels,Demographic data,Emergency service

Özet: Objective: We aimed to compare patients presenting with digoxin intoxication clinic with serum digoxin levels with demographic data. Materials and Methods: This is a retrospective study. Patients admitted to the emergency room with suspected digoxin intoxication included into the study. Patients with missed data, and patients younger than 18 years were excluded. Statistical analysis was performed using the SPSS v25 (SPSS Inc, Chicago, IL) program package. Results: A total of 118 patients were investigated in our retrospective study. Among these, 38 (%32,2) were men and 80 were female (%67,8). Patients with a digoxin level above 2 were evaluated for intoxication. Digoxin intoxication was detected in 31 patients (26.3%). Of 31 patients with digoxin intoxication, 19 (61.2%) were hospitalized. Patients who had digoxin intoxication admission complaints were fatigue in 6 patients (19,35%), nausea in 4 patients (12,9%), bradycardia in 4 patients (12,9%), and general condition disorder in 4 patients (12,9%). Conclusion: Blood level in digoxin intoxication may not always be decisive. After a detailed anamnesis, physical examination, ECG findings should be followed, routine electrolyte and other blood tests should be examined and cardiology should be consulted.

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