Question 问题：

Digoxin toxicity is most commonly due to unintentional overdose or decreased drug clearance due to hepatic or renal dysfunction. Most patients with acute toxicity present with anorexia, emesis, and fatigue. How does chronic toxicity usually present? 

地高辛中毒最多见于不小心过度服药或由于肝肾功能损伤导致药物清除降低。多数急性中毒患者表现为厌食，呕吐，和疲倦。慢性中毒通常如何表现的？

Answer 答案：

Onset over days to weeks of neurologic symptoms (confusion)，vision changes，bradycardia.

几天到几周内出现神经症状（神志恍惚），视力改变，和心动过缓。

参考文献：

Cureus. 2021;13:e17599