Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest.

Autor: Rivner H; Cardiovascular Division, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA., Lambrakos LK; Cardiovascular Division, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2021 Jan 27; Vol. 3 (4), pp. 586-590. Date of Electronic Publication: 2021 Jan 27 (Print Publication: 2021).
DOI: 10.1016/j.jaccas.2020.11.030
Abstrakt: An 86-year-old man with paroxysmal atrial fibrillation on flecainide, a class IC antiarrhythmic, presented with cardiac arrest. The patient had extremely wide QRS complexes with inconsistent pacemaker capture on electrocardiography. Due to cardiac failure and renal failure, the patient developed progressive flecainide toxicity, which led to pacemaker failure, and ultimately, death. ( Level of Difficulty: Beginner. ).
Competing Interests: The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2021 The Authors.)
Databáze: MEDLINE