Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest

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 pro...

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Detalles Bibliográficos
Autores principales: Rivner, Harold, Lambrakos, Litsa K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Electrophysiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302776/
https://www.ncbi.nlm.nih.gov/pubmed/34317582
http://dx.doi.org/10.1016/j.jaccas.2020.11.030
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author Rivner, Harold
Lambrakos, Litsa K.
author_facet Rivner, Harold
Lambrakos, Litsa K.
author_sort Rivner, Harold
collection PubMed
description 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.)
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spelling pubmed-83027762021-07-26 Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest Rivner, Harold Lambrakos, Litsa K. JACC Case Rep Mini-Focus Issue: Electrophysiology 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.) Elsevier 2021-01-27 /pmc/articles/PMC8302776/ /pubmed/34317582 http://dx.doi.org/10.1016/j.jaccas.2020.11.030 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Mini-Focus Issue: Electrophysiology
Rivner, Harold
Lambrakos, Litsa K.
Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest
title Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest
title_full Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest
title_fullStr Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest
title_full_unstemmed Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest
title_short Flecainide Toxicity Leading to Loss of Pacemaker Capture and Cardiac Arrest
title_sort flecainide toxicity leading to loss of pacemaker capture and cardiac arrest
topic Mini-Focus Issue: Electrophysiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302776/
https://www.ncbi.nlm.nih.gov/pubmed/34317582
http://dx.doi.org/10.1016/j.jaccas.2020.11.030
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