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Ann Emerg Med. 1996 Oct;28(4):440-1.

Hyperkalemia and digoxin toxicity in a patient with kidney failure.

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University of Connecticut Integrated Residency in Emergency Medicine, Hartford, USA.


Hyperkalemia resulting from digoxin toxicity is a well-recognized phenomenon. We report a case in which hyperkalemia, bradycardia, and hypotension were unresponsive to standard therapy but appeared to respond to digoxin-specific antibodies (Fab). This case highlights the importance of a high index of suspicion for digoxin toxicity as a potential cause of refractory hyperkalemia.

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