Saturday 3 March 2012

Digitalis effect

A 64 year old lady on digoxin


Digitalis effect

  • shortened QT interval
  • characteristic down-sloping ST depression, reverse tick appearence, (shown here in leads V5 and V6)
  • dysrhythmias
    • ventricular / atrial premature beats
    • paroxysmal atrial tachycardia with variable AV block
    • ventricular tachycardia and fibrillation
    • many others