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Related Experiment Videos

[Powerlessness and apathy in digitalis intoxication].

S M Eberhard1, S Woolley, U Zellweger

  • 1Medizinische Abteilung, Regionalspital Surselva, Ilanz.

Praxis
|June 22, 1999
PubMed
Summary
This summary is machine-generated.

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Digitalis toxicity can cause severe altered mental status, including stupor, in elderly patients. Discontinuation of the medication led to the patient

Area of Science:

  • Geriatric Medicine
  • Clinical Toxicology
  • Cardiology

Background:

  • Elderly patients are susceptible to adverse drug reactions.
  • Digitalis glycosides are commonly prescribed for cardiac conditions.
  • Assessing medication side effects is crucial in hospitalized patients.

Observation:

  • An 85-year-old female developed progressive stupor during hospitalization for a bronchopulmonary infection.
  • No other cause for the stupor was identified, including neurological, infectious, or metabolic factors.
  • The patient had recently started a digitalis medication.

Findings:

  • Discontinuation of digitalis resulted in the patient's complete recovery of consciousness within two weeks.
  • A four-second asystole was incidentally detected on Holter-EKG monitoring without associated symptoms.

Related Experiment Videos

  • This suggests digitalis toxicity as the likely cause of the stupor and potential cardiac effects.

    • Implications:

    • Digitalis toxicity should be considered in elderly patients presenting with unexplained altered mental status.
    • Careful medication review and dose adjustment are essential in geriatric patients.
    • Early recognition and withdrawal of the offending agent can reverse severe adverse effects.