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Kar Neng Lai, MD, MRCP; Ramasamyiyer Swaminathan, MBBS, PhD, MRCPath; Chiu On Pun, MBBS, MRCP; John Vallance-Owen, MD, FRCP, FRCPI, FRCPath

Arch Intern Med. 1986;146(6):1219-1220.

Abstract
• We used hemofiltration to treat a patient with digoxin overdose complicated by refractory hyperkalemia, congestive heart failure, chronic renal failure, and complete atrioventricular heart block. Hemofiltration was associated with a progressive fall in plasma digoxin level and potassium level. This was accompanied by resolution of the heart failure and complete heart block. Hemofiltration appears to provide a therapeutic alternative in digoxin overdose.

(Arch Intern Med 1986;146:1219-1220)

Author Affiliations
From the Department of Medicine, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories.

Footnotes
Accepted for publication Jan 13, 1986.

Reprint requests to Department of Medicine, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong (Dr Lai).

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