ISSN: 2161-0495
+44 1478 350008
Beaumont Health, Department of Emergency Medicine, Royal Oak, Michigan, USA
Emergency Medicine, Beaumont Hospital, Farmington Hills. Education: the University of Illinois at Chicago Residency, Emergency Medicine, 2002. Wayne State University School of Medicine Medical School, 1999. Board Certifications: Emergency Medicine, American Board of Emergency Medicine, 2003
Case Report
The Case of Flecainide Toxicity: What to Look For and How to Treat
Author(s): Joshua Newson*, Bradford L Walters and Brett R Todd
Introduction: Flecainide is a class Ic antiarrhythmic agent used to prevent and treat both ventricular and supraventricular tachycardias including atrial fibrillation, AV nodal re-entrant tachycardia (AVNRT), and Wolff- Parkinson-White syndrome (WPW). Flecainide can cause serious side effects include cardiac arrest, arrhythmias, and heart failure. Despite its growing use, the presenting signs and symptoms of flecainide toxicity are not familiar to most clinicians.
Case description: This was a 58 year-old female who presented from her skilled nursing facility due to hypoxia and altered mental status. Past medical history was notable for paroxysmal atrial fibrillation for which she was on flecainide. At the nursing facility the patient was noted to be obtunded, whereas at baseline she was reportedly alert and oriented. On presentation to the E.. View More»
DOI:
10.35248/2161-0495.20.10.433