Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12857/126945
Title: 1:1 atrial flutter induced by flecainide, whilst the patient was at rest
Authors: Comelli, Ivan
Pigna, Federica
Cervellin, Gianfranco 
Keywords: 1:1 atrial flutter;1c-dependent atrial flutter;Atrial fibrillation;Atrial flutter;Flecainide
Keywords Plus: I ANTIARRHYTHMIC DRUGS;FIBRILLATION;CONDUCTION
Mesh headings: Atrial Fibrillation;Atrial Flutter;Flecainide
Secondary Mesh headings: Electrocardiography;Emergency Service, Hospital;Humans;Injections, Intravenous;Male;Middle Aged
Issue Date: 2018
Publisher: W B SAUNDERS CO-ELSEVIER INC
Journal: The American journal of emergency medicine 
Abstract: 
Class Ic antiarrhythmic agents flecainide and propafenone are amongst the drugs most frequently prescribed to control atrial arrhythmias, in particular atrial fibrillation (AF). Despite being cited in some guidelines as a warning when using 1c antiarrhythmic agents, atrial flutter (AFl) with 1:1 atrioventricular conduction is rare in adults, with only small series reported in the literature, mainly including patients having 1:1 AFl during physical activity, and often associated with a predisposing factor, namely a dual AV nodal conduction pathway. We describe here a rare case of 1:1 AFl induced by flecainide, developing whilst the patients was resting in bed, in a 56 year old man who presented to the local Emergency Department (ED) complaining for palpitations due to acute-onset AF. After ED discharge, the patient was then evaluated in the Arrhythmologic Clinic of the Cardiology Department, and channellopaties were excluded. This case report should raise alertness in emergency physicians about this serious and potentially fatal side effect of flecainide, when using this drug for pharmacological cardioversion of AF.
URI: http://hdl.handle.net/20.500.12857/126945
ISSN: 07356757
DOI: 10.1016/j.ajem.2018.07.040
Appears in Collections:Articles

Show full item record

PubMed Central
Citations 50

1
Last Week
1
Last month
checked on May 2, 2021

WEB OF SCIENCETM
Citations

3
checked on May 20, 2022

Page view(s) 20

1
checked on May 25, 2022

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.