Hypercalcaemia: worsened digoxin toxicity 

Clinical bottom line (level 5)

  1. A case of digoxin toxicity worsened with hypercalcaemia
Vella et al: Postgraduate medical journal 1999; 75: 554-556
Expires January 2003

The study

Case series with objective outcomes, not adjusted for confounding factors, not validated in an independent set of patients.

Setting: University hospital, USA

1 patients (aged 81y, 100% female) digoxin toxicity in hypercalcaemia


Outcomes studied:

The evidence

  • A case of a woman with digoxin toxicity (bradyarrythmia) at therapeutic digoxin levels in the presence of hypercalcaemia, resolving with reduced calcium levels.

Comments

  1. Case study: minimal information can be gleaned.

Citation

  1. Vella A, Gerber TC, Hayes DL: Digoxin, hypercalcaemia and cardiac conduction. Postgraduate medical journal 1999; 75: 554-556
Contributor: Bob Phillips, February 2000
Reviewer:

Clinical Question.
Patient on digoxin
Intervention or Exposure hypercalcaemia
Outcome cardica arrythmias; morbidity