The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female
Class IC antiarrhythmics are generally considered a safe means of treating many common arrhythmias such as atrial fibrillation (a-fib), atrial flutter (a-flutter), and paroxysmal supraventricular tachycardia (PSVT). Essentially, flecainide works by binding and blocking sodium channels more effective...
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Format: | Article |
Language: | English |
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Wiley
2022-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2022/1409498 |
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author | Ebubechukwu Ezeh Maddie Perdoncin Morgan K. Moroi Mohammad Amro Mohammed Ruzieh Paul I. Okhumale |
author_facet | Ebubechukwu Ezeh Maddie Perdoncin Morgan K. Moroi Mohammad Amro Mohammed Ruzieh Paul I. Okhumale |
author_sort | Ebubechukwu Ezeh |
collection | DOAJ |
description | Class IC antiarrhythmics are generally considered a safe means of treating many common arrhythmias such as atrial fibrillation (a-fib), atrial flutter (a-flutter), and paroxysmal supraventricular tachycardia (PSVT). Essentially, flecainide works by binding and blocking sodium channels more effectively at higher heart rates. However, this class of drugs is known to exhibit use dependence which could predispose patients to the development of malignant arrhythmias during episodes of tachycardia. In this case, we present a patient who was being treated with flecainide for a-fib who ultimately developed a wide complex tachycardia after her metoprolol was held. |
format | Article |
id | doaj-art-d490c3b0ec274ceca893a669cce8de6f |
institution | Kabale University |
issn | 2090-6412 |
language | English |
publishDate | 2022-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-d490c3b0ec274ceca893a669cce8de6f2025-02-03T06:08:42ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/1409498The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly FemaleEbubechukwu Ezeh0Maddie Perdoncin1Morgan K. Moroi2Mohammad Amro3Mohammed Ruzieh4Paul I. Okhumale5Department of Internal MedicineDepartment of Internal MedicinePennsylvania State UniversityThe Palestinian Ministry of Health and Higher EducationUniversity of FloridaCedar Valley Cardiovascular CenterClass IC antiarrhythmics are generally considered a safe means of treating many common arrhythmias such as atrial fibrillation (a-fib), atrial flutter (a-flutter), and paroxysmal supraventricular tachycardia (PSVT). Essentially, flecainide works by binding and blocking sodium channels more effectively at higher heart rates. However, this class of drugs is known to exhibit use dependence which could predispose patients to the development of malignant arrhythmias during episodes of tachycardia. In this case, we present a patient who was being treated with flecainide for a-fib who ultimately developed a wide complex tachycardia after her metoprolol was held.http://dx.doi.org/10.1155/2022/1409498 |
spellingShingle | Ebubechukwu Ezeh Maddie Perdoncin Morgan K. Moroi Mohammad Amro Mohammed Ruzieh Paul I. Okhumale The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female Case Reports in Cardiology |
title | The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female |
title_full | The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female |
title_fullStr | The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female |
title_full_unstemmed | The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female |
title_short | The Slower, the Better: Wide Complex Tachycardia Triggered by Flecainide in an Elderly Female |
title_sort | slower the better wide complex tachycardia triggered by flecainide in an elderly female |
url | http://dx.doi.org/10.1155/2022/1409498 |
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