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high doses of digoxin may produce a variet y of rhy thm disturbances, such as first-degree, second-degree wenckebach , or third-degree heart block including asystole ; atrial tachycardia with block; av dissociation; accelerated junctional nodal rhy thm; unifocal or multiform ventricular premature contractions especially bigeminy or trigeminy ; ventricular tachycardia; and ventricular fibrillation.
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