Paroxysmal” atrial tachycardia with block and frequent PVCs This is a classic ECG of digoxin toxicity showing atrial tachycardia (P waves at 150 bpm), high-grade 2nd degree AV block (A:V ratio of 4:1) with frequent premature ventricular complexes. Clinical features of Digoxin Toxicity GIT: Nausea, vomiting, anorexia, diarrhoea Visual: Blurred vision, yellow/green discolouration, haloes CVS: Palpitations, syncope, dyspnoea CNS: Confusion, dizziness, delirium, fatigue