Comments on: “Stone Heart” = Stone Ages? http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/ A blog from inside the emergency department Wed, 08 Feb 2012 14:07:09 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Heart of Stone?: calcium and digoxin toxicity » The Poison Review http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-43354 Heart of Stone?: calcium and digoxin toxicity » The Poison Review Sun, 30 Jan 2011 00:04:10 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-43354 [...] will — aside from precipitating life-threatening arrhythmias — cause the dreaded “stone heart“.  The theory has a certain face validity.  Digoxin inhibits the sodium-potassium ATPase [...] [...] will — aside from precipitating life-threatening arrhythmias — cause the dreaded “stone heart“.  The theory has a certain face validity.  Digoxin inhibits the sodium-potassium ATPase [...]

]]> By: Anonymous http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-9253 Anonymous Thu, 25 Jun 2009 07:11:53 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-9253 Curious how often you see dig toxicity these days compared to 5-10 years ago? In my experience it is more common to use much lower dig doses than in the past, so toxicity is less common. Curious how often you see dig toxicity these days compared to 5-10 years ago? In my experience it is more common to use much lower dig doses than in the past, so toxicity is less common.

]]> By: ArkieRN http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-9250 ArkieRN Thu, 25 Jun 2009 00:17:47 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-9250 Whoops! Sorry, read the post more carefully. *note to self - do not try to read critically when bone tired from too much overtime* Whoops! Sorry, read the post more carefully.

*note to self – do not try to read critically when bone tired from too much overtime*

]]> By: ArkieRN http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-9249 ArkieRN Thu, 25 Jun 2009 00:15:45 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-9249 Uh...I think you mean hypercalcemia not hyperkalemia. Uh…I think you mean hypercalcemia not hyperkalemia.

]]> By: Painless http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-9248 Painless Wed, 24 Jun 2009 22:41:17 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-9248 Of course, the hyperkalemia and the dig toxicity could significantly helped with digoxin imune fab - that really should be the treatment of choice in this case. Why bother with the calcium at all? Why take that risk? If the digoxin immune fab is given, THEN calcium can safely be given - but not before it's given. Of course, the hyperkalemia and the dig toxicity could significantly helped with digoxin imune fab – that really should be the treatment of choice in this case. Why bother with the calcium at all? Why take that risk? If the digoxin immune fab is given, THEN calcium can safely be given – but not before it’s given.

]]> By: paul http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-9245 paul Wed, 24 Jun 2009 21:25:58 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-9245 also, i thought the whole stone heart thing was based on a dog study? also, i thought the whole stone heart thing was based on a dog study?

]]> By: paul http://www.epmonthly.com/whitecoat/2009/06/stone-heart-stone-ages/#comment-9244 paul Wed, 24 Jun 2009 21:24:53 +0000 http://www.epmonthly.com/whitecoat/?p=2917#comment-9244 is it true that the warning not to give ca to dig overdose is the only italicized and underlined sentence in all of goldfrank's? is it true that the warning not to give ca to dig overdose is the only italicized and underlined sentence in all of goldfrank’s?

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