History and exam
Key diagnostic factors
common
digoxin exposure
History of exposure to digoxin or digitoxin should be confirmed if possible.
gastrointestinal symptoms
Typically include nausea, vomiting, diarrhea, abdominal pain, or anorexia.
central nervous system symptoms
Typically include lethargy, weakness, and confusion.
uncommon
visual symptoms
Typically include disturbances of color vision with a tendency to perceive yellow halos around objects (xanthopsia), blurred vision, and diplopia. Xanthopsia is not as common in digoxin overdose as it is in digitoxin overdose.
Other diagnostic factors
common
suicidality
Patients or family members may provide the history of exposure or suicidality in acute digoxin toxicity.
cardiovascular symptoms
Typically include palpitations, syncope, arrhythmias, and dyspnea.
Use of this content is subject to our disclaimer