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J Contemp Med. 2011; 1(2): 74-77


Digoxin Intoxication Of The Applicant To The Emergency Department With Abdominal Pain; A Case Report

Murat AYAN, Mehmet ESEN, Kerem ÖZBEK, Ali KABLAN, İlyas KOÇ,Köksal CEYHAN.

Abstract
Digoxin is a cardiac glycoside which has a narrow therapeutic range. Findings related to digoxin toxicity is not only related to the cardiac, gastrointestinal and neurological systems, particularly in a multisystem related symptoms, it can lead to digoxin toxicity. An 82-year-old female patient was admitted our emergency service with the abdominal pain, nausea and vomiting complaints. When the patient’s medical background was queried, it was found out that she had used digoxin tablets. Low ventricular response to atrial fibrillationin in the patient's ECG, and due to high levels of serum digoxin, digoxin intoxication was suspected. With the patient's symptoms and the ECG have improved after discontinuation of digoxin, it was confirmed that the diagnosis was digoxinin toxication. As a result, we suggest that emergency room physicians should consider narrow range of therapeutic drugs such as digoxin in elderly patients which have nausea, vomiting, abdominal pain.

Key words: digoxin intoxication, abdominal pain, emergency department



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