Differential diagnosis of wide complex tachycardia in patients taking anti-arrhythmic can be challenging. Conventional ECG diagnostic criteria are poorly specific and should be applied with caution. Patients who develop life-threatening arrhythmias after flecainide infusion should be screened for Brugada Syndrome, especially if concomitant sinus node dysfunction is present.
Wide Complex Tachycardia and Flecainide: A Dangerous Couple / M. Bergonti, C. Ascione, C. Tondo, A. Sarkozy. - In: JACC. CASE REPORTS. - ISSN 2666-0849. - 3:11(2021), pp. 1373-1375. [10.1016/j.jaccas.2021.06.019]
Wide Complex Tachycardia and Flecainide: A Dangerous Couple
M. Bergonti;C. Ascione;C. Tondo;
2021
Abstract
Differential diagnosis of wide complex tachycardia in patients taking anti-arrhythmic can be challenging. Conventional ECG diagnostic criteria are poorly specific and should be applied with caution. Patients who develop life-threatening arrhythmias after flecainide infusion should be screened for Brugada Syndrome, especially if concomitant sinus node dysfunction is present.
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