Brugada electrocardiographic pattern elicited by inadvertent flecainide overdose

被引：12
|
作者：
Hudson, CJ
Whitner, TE
Rinaldi, MJ
Littmann, L
机构：
[1] Carolinas Med Ctr, Dept Internal Med, Charlotte, NC 28232 USA
[2] Carolinas Med Ctr, Sanger Clin PA, Charlotte, NC 28232 USA
来源：
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2004年 / 27卷 / 09期
关键词：
Brugada syndrome; flecainide; sodium channel blocker toxicity;
D O I：
10.1111/j.1540-8159.2004.00625.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In a 70-yeor-old man, without clinical suggestion of the hereditary form of the Brugada syndrome, severe flecainide overdose resulted in profound widening of the QRS complex and the development of ST-T abnormalities typical of the Brugada sign. Serial ECGs recorded over a 5-day period revealed a parallel pattern of dynamic intraventricular conduction defect and ST-segment elevation. Resolution of ST-segment elevation lagged behind resolution of the QRS widening by 16-20 hours. Despite the marked Brugado abnormality no arrhythmia occurred and the patient recovered without complications.
引用
收藏
页码：1311 / 1313
页数：3
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