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Test Code DIG Digoxin Level

Specimen Collection Information

 Specimen  Min. Test Volume Collection Container Special Handling
Blood 0.1 mL Light Green (lith. heparin) top
Gold top
Marble Red top
 

Reference Ranges & Critical Values

Assay Gender Age Range Normal Range Critical Values Units
DIG ALL 0 Minutes – 150 Years 0.6 - 1.2 > 2.0 ng/mL

Specimen Stability

24 hours at 2-8°C

Result Interpretation

A relationship between serum levels of digoxin and therapeutic or toxic effects has been demonstrated in numerous studies. Therapeautic effects are seen with concentrations between approximately 0.8 and 2.0 ng/mL. Serum digoxin concentrations above 2.0 ng/mL are associated with symptoms of toxicity, while concentrations less than 0.8 ng/mL are generally not effective. Based on actual new ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, 2008,a therapeutioc concentration range for digoxin of 0.6 - 1.2 ng/mL is recommended. Increased risk of mortality was observed for digoxin concentration of 1.2 ng/mL and higher.

Day(s) Performed

Monday - Sunday

Special Handling

Note special drawing times:

  • Steady State: 1 to 2 weeks (prolonged by renal dysfuntion)
  • Post distribution phase: draw at least six (6) hours after the dose.

CPT

80162

LOINC

10535-3