Digoxin Effect & Toxicity ECG: MRCP Part 2 Notes
Separate the harmless 'digoxin effect' (reverse-tick ST depression) from true toxicity, which causes almost any arrhythmia.
Each case works through the pattern, the mechanism behind it, and the management decision it forces — plus the mistake that most often follows.
Separate the harmless 'digoxin effect' (reverse-tick ST depression) from true toxicity, which causes almost any arrhythmia.
Sinus tachycardia is the commonest ECG in PE; S1Q3T3 is famous but uncommon. The ECG supports, but never excludes, the diagnosis.
A regular narrow-complex tachycardia at 150/min should always prompt the question: is this 2:1 atrial flutter?
A sodium-channelopathy causing coved ST elevation in the right precordial leads and a risk of sudden cardiac death in structurally normal hearts.
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