Flecainide induced wide QRS Tachycardia
Journal
International Journal of Recent in Art and Sciences
Date Issued
2021
Author(s)
Gjoko Spasevski
Elena Kikirkovska
Abstract
In this case report we present a 54-year-old patient hospitalized in the rhythmology
department, who complains of fatigue and shortness of breath. The electrocardiogram showed
atrial flatter with a frequency of 140 / min. After treatment with flecainide, the patient is converted
to a sinus rhythm with a frequency of 75 / min. A coronary load stress test was then performed, in
which in the recovery phase, the patient switched from a sinus rhythm to a wide QRS atrial flutter
with a 1:1 conduction. Echocardiography subsequently revealed dilated left ventricle with global
hypokinesia and an ejection fraction of 41%.
department, who complains of fatigue and shortness of breath. The electrocardiogram showed
atrial flatter with a frequency of 140 / min. After treatment with flecainide, the patient is converted
to a sinus rhythm with a frequency of 75 / min. A coronary load stress test was then performed, in
which in the recovery phase, the patient switched from a sinus rhythm to a wide QRS atrial flutter
with a 1:1 conduction. Echocardiography subsequently revealed dilated left ventricle with global
hypokinesia and an ejection fraction of 41%.