A Study of the Use of Flecainide Acetate in the Long-Term Management of Cardiac Arrhythmias.

Autor: Wiseman, Martin N., Elstob, June E., Camm, A. John, Nathan, Anthony W.
Předmět:
Zdroj: Pacing & Clinical Electrophysiology; Jun1990, Vol. 13 Issue 6, p767-775, 9p
Abstrakt: One hundred and sixty-nine patients with a wide range of cardiac arrhythmias and who had been treated with chronic oral flecainide acetate were reviewed retrospectively. The most common arrhythmia was atrial fibrillation (32%), and 20% of the patient population had the Wolff-Parkinson-White syndrome. Five hundred and three treatment episodes were assessed, 254 with flecainide alone or in combination, mean duration 7.3 ± 9.4 months, and 249 without flecainide, mean duration 9.5 ± 12.3 months. The most common dose for flecainide was 200 mg/day (57% of episodes), and it was used alone in 82% of flecainide treatment episodes. Arrhythmia frequency was reduced or abolished in 73% of flecainide treatment episodes, with little difference between arrhythmia groups. Unwanted effects were seen in 14% of flecainide treatment episodes, and half of these cases were managed by dose adjustment. It is concluded that flecainide acetate is effective in a wide range of cardiac arrhythmias, and that long-term management problems are few. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index