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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Main Authors: Ebubechukwu Ezeh, Maddie Perdoncin, Morgan K. Moroi, Mohammad Amro, Mohammed Ruzieh, Paul I. Okhumale
Format: Article
Language:English
Published: Wiley 2022-01-01
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.
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institution Kabale University
issn 2090-6412
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publishDate 2022-01-01
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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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