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


ABSTRACT: 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.).

SUBMITTER: Rivner H 

PROVIDER: S-EPMC8302776 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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

Rivner Harold H   Lambrakos Litsa K LK  

JACC. Case reports 20210127 4


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. (<b>Level of Difficulty: Beginner.</b>). ...[more]

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