Wide Complex Tachycardia and Flecainide: A Dangerous Couple

Differential diagnosis of wide complex tachycardia in patients taking anti-arrhythmic can be challenging. Conventional ECG diagnostic criteria are poorly specific and should be applied with caution. Patients who develop life-threatening arrhythmias after flecainide infusion should be screened for Br...

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Detalles Bibliográficos
Autores principales: Bergonti, Marco, Ascione, Ciro, Tondo, Claudio, Sarkozy, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Ecg Teaching Competition
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8414423/
https://www.ncbi.nlm.nih.gov/pubmed/34505074
http://dx.doi.org/10.1016/j.jaccas.2021.06.019
Descripción
Sumario:Differential diagnosis of wide complex tachycardia in patients taking anti-arrhythmic can be challenging. Conventional ECG diagnostic criteria are poorly specific and should be applied with caution. Patients who develop life-threatening arrhythmias after flecainide infusion should be screened for Brugada Syndrome, especially if concomitant sinus node dysfunction is present. (Level of Difficulty: Intermediate.)

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