Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication

Introduction and purpose: Digoxin, a cardiac glycoside derived from Digitalis lanata, has stood as a cornerstone in the treatment of various cardiovascular disorders for centuries. This study aims to delve into the demographic aspects, clinical characteristics, and outcomes associated with Digoxin...

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Main Authors: Marcin Wais, Marlena Zając, Dariusz Gruca, Paweł Zalewski, Wiktor Wróblewski, Adam Raabe, Michał Tchórz
Format: Article
Language:English
Published: Kazimierz Wielki University 2024-04-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/49851
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author Marcin Wais
Marlena Zając
Dariusz Gruca
Paweł Zalewski
Wiktor Wróblewski
Adam Raabe
Michał Tchórz
author_facet Marcin Wais
Marlena Zając
Dariusz Gruca
Paweł Zalewski
Wiktor Wróblewski
Adam Raabe
Michał Tchórz
author_sort Marcin Wais
collection DOAJ
description Introduction and purpose: Digoxin, a cardiac glycoside derived from Digitalis lanata, has stood as a cornerstone in the treatment of various cardiovascular disorders for centuries. This study aims to delve into the demographic aspects, clinical characteristics, and outcomes associated with Digoxin poisoning. By drawing upon a dataset involving 22 patients hospitalized for Digoxin intoxication at the Clinical Department of Toxicology and Cardiology in Lublin, Poland, spanning from April 2014 to December 2023, our investigation seeks to provide an understanding of this issue. Brief description of the state of knowledge: Despite the efficacy of Digoxin, the potential risk of intoxication, especially in the elderly, necessitate a comprehensive examination. Age-related changes, such as declining renal function,  electrolyte imbalances, comorbidities and polypharmacy affect how drugs like Digoxin work. The symptoms of Digoxin poisoning can manifest in various organ systems such as cardiovascular, gastrointestinal, nervous system, highlighting the importance of prompt recognition to seek medical attention. Methods and results: In our study, we analyzed data from 22 patients hospitalized due to Digoxin intoxication, focusing on demographic aspects, clinical characteristics and outcomes. The cases of Digoxin poisoning were categorized according to several factors, including the quantity and nature of substances consumed, the cause of intoxication, gender, age brackets, health conditions, peak serum Digoxin levels, length and outcomes of hospitalization. Conclusions: Our study provides insights into the characteristics and outcomes of patients hospitalized due to Digoxin intoxication. The findings underscore the association of Digoxin poisoning, and emphasize the importance of monitoring serum levels to prevent adverse outcomes. As Digoxin continues to be relevant in treating cardiovascular conditions, our study calls for careful management and monitoring.
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spelling doaj.art-02195a4abfcc47468ff008e8a5f7455d2024-04-19T10:54:09ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062024-04-016510.12775/JEHS.2024.65.008Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxicationMarcin Wais0Marlena Zając1Dariusz Gruca2Paweł Zalewski3Wiktor Wróblewski4Adam Raabe5Michał Tchórz6Military Clinical Hospital in Lublin, al. Racławickie 23, 20-049 Lublin7th Navy Hospital in Gdańsk, st. Polanki 117, 80-305 GdańskMilitary Clinical Hospital in Lublin, al. Racławickie 23, 20-049 LublinStefan Wyszyński Regional Specialist Hospital in Lublin, al. Krasnicka 100, 20-718 LublinMilitary Clinical Hospital in Lublin, al. Racławickie 23, 20-049 LublinMilitary Clinical Hospital in Lublin, al. Racławickie 23, 20-049 LublinDepartment of Toxicology, Medical University of Lublin Introduction and purpose: Digoxin, a cardiac glycoside derived from Digitalis lanata, has stood as a cornerstone in the treatment of various cardiovascular disorders for centuries. This study aims to delve into the demographic aspects, clinical characteristics, and outcomes associated with Digoxin poisoning. By drawing upon a dataset involving 22 patients hospitalized for Digoxin intoxication at the Clinical Department of Toxicology and Cardiology in Lublin, Poland, spanning from April 2014 to December 2023, our investigation seeks to provide an understanding of this issue. Brief description of the state of knowledge: Despite the efficacy of Digoxin, the potential risk of intoxication, especially in the elderly, necessitate a comprehensive examination. Age-related changes, such as declining renal function,  electrolyte imbalances, comorbidities and polypharmacy affect how drugs like Digoxin work. The symptoms of Digoxin poisoning can manifest in various organ systems such as cardiovascular, gastrointestinal, nervous system, highlighting the importance of prompt recognition to seek medical attention. Methods and results: In our study, we analyzed data from 22 patients hospitalized due to Digoxin intoxication, focusing on demographic aspects, clinical characteristics and outcomes. The cases of Digoxin poisoning were categorized according to several factors, including the quantity and nature of substances consumed, the cause of intoxication, gender, age brackets, health conditions, peak serum Digoxin levels, length and outcomes of hospitalization. Conclusions: Our study provides insights into the characteristics and outcomes of patients hospitalized due to Digoxin intoxication. The findings underscore the association of Digoxin poisoning, and emphasize the importance of monitoring serum levels to prevent adverse outcomes. As Digoxin continues to be relevant in treating cardiovascular conditions, our study calls for careful management and monitoring. https://apcz.umk.pl/JEHS/article/view/49851digoxin poisoningdigoxin serum levelelderly patientsatrial fibrillationcongestive heart failurechronic renal failure
spellingShingle Marcin Wais
Marlena Zając
Dariusz Gruca
Paweł Zalewski
Wiktor Wróblewski
Adam Raabe
Michał Tchórz
Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication
Journal of Education, Health and Sport
digoxin poisoning
digoxin serum level
elderly patients
atrial fibrillation
congestive heart failure
chronic renal failure
title Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication
title_full Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication
title_fullStr Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication
title_full_unstemmed Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication
title_short Treatment with Digoxin – is it a clinical challenge? A Retrospective Analysis of Hospitalizations due to Digoxin intoxication
title_sort treatment with digoxin is it a clinical challenge a retrospective analysis of hospitalizations due to digoxin intoxication
topic digoxin poisoning
digoxin serum level
elderly patients
atrial fibrillation
congestive heart failure
chronic renal failure
url https://apcz.umk.pl/JEHS/article/view/49851
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