Journal of Clinical Toxicology
Open Access

Beaumont Health, Department of Emergency Medicine, Royal Oak, Michigan, USA

Publications

• 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

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