@article{ref1,
title="Demographic and clinical parameters of digitalis intoxicated pediatric patients during years 2009-2010",
journal="Indian journal of forensic medicine and toxicology",
year="2011",
author="Heba, Y.S. and Omneya, I.Y. and Fawzi, M.M.",
volume="5",
number="2",
pages="58-62",
abstract="Hundred pediatric patients were presented with acute digitalis toxicity to pediatric cardiology unit and poison control center Ain Shams University(PCCA) hospitals during years 2009- 2010.Their sociodemographic results showed that their age groups varies from early infancy up to adolescent. Early infancy (32%),late infancy(20%),early childhood (4%), late childhood (24%) and adolescents (20%).Most were males (68%).80% of cases came from urban areas and near half of them belong to social class III (48%). Oral route of intake was the main route 64%. The clinical data showed that the indications of digitalis intake were 28% had DCM,24% had RHD,28% had CHD,12% exposed accidently to digitalis toxicity while 8% due suicidal attempts. The main presenting clinical manifestations were nausea and vomiting 72%. Followed by bradycardia (50%). There was highly significant correlation between serum digitalis level measured and serum electrolytes. The outcome of cases showed that the mean hospital stay duration was 5.6±3 days. Thirteen percent showed morbidities in the form of different types of arrhythmias as follows: PVCs (3%), Bigemeiny (3%), sinus bradycardia (3%), Torsades de points (3%) and first degree heart block (1%). 100% of cases survived with mean serum digitalis level 2.8±0.7ng/ml. No mortalities occurred. All cases recovered completely and were discharged. This reflects the efficiency of therapy and successful management in both pediatric cardiology unit and PCCA.<p /><p>Language: en</p>",
language="en",
issn="0973-9122",
doi="",
url="http://dx.doi.org/"
}