Case Report
A 62 year old female attempted suicide taking three fistfuls of Digoxin. She presented to Emergency Department five hours later with already developed symptoms of digoxin toxicity including severe bradycardia. Her digoxin level was over 20.4 ng/ml, potassium level was 5.2 mmol/l. . She was treated with Digoxin-Specific Fab Antibody Fragments and Atropine with prompt improvement and haemodynamic stabilisation. Echocardiography in subacute phase demonstrated significant left ventricular hypertrophy and abnormal myocardial texture. Repeat echocardiography before discharge (on day ten) showed borderline myocardial thickness and normal appearance of her myocardium. This phenomenon is consistent with transient myocardial edema. As there was no other explanation for this finding we believe it was related to digoxin toxicity. This has not been described before.
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