Pseudo infarction ECG pattern occurring during intravenous treatment with flecainide acetate

A 79-year-old woman presented with atrial flutter and anginal complaints, which remitted on nitroglycerin but the flutter did not respond to digoxin and verapamil. Flecainide acetate was given intravenously; administration was stopped because of development of a significant increase in the QRS durat...

Full description

Saved in:
Bibliographic Details
Published in:European heart journal 1992, Vol.13 (1), p.137-139
Main Authors: VAN AUBEL, K. J. J. C. M, RUITER, J. H, ARNOLD, A. E. R, BURGERSDIJK, C
Format: Article
Language:English
Subjects:
Aged
Atrial Flutter - drug therapy
Biological and medical sciences
Bundle-Branch Block - chemically induced
Bundle-Branch Block - diagnosis
Drug toxicity and drugs side effects treatment
Electrocardiography - drug effects
Female
Flecainide - administration & dosage
Flecainide - adverse effects
Flecainide - pharmacology
Humans
Infusions, Intravenous
Medical sciences
Miscellaneous (drug allergy, mutagens, teratogens...)
Pharmacology. Drug treatments
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 79-year-old woman presented with atrial flutter and anginal complaints, which remitted on nitroglycerin but the flutter did not respond to digoxin and verapamil. Flecainide acetate was given intravenously; administration was stopped because of development of a significant increase in the QRS duration, existence of prominent deep Q waves and marked ST elevation in leads V1 to V4. These abnormalities mimicked the ECG changes seen in myocardial infarction. However, the presence of an acute myocardial infarction could be ruled out. On a second admission intravenous flecainide acetate resulted in comparable marked ECG changes.
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a060034