Class IC Antiarrhythmic Drugs, Flecainide and Pilsicainide, Produce ST Segment Elevation Simulating Inferior Myocardial Ischemia

• WAKO NAKAMURA

• KAZUHIKO SEGAWA

• HIROYUKI ITO

• SHUGO TANAKA

• NOBUO YOSHIMOTO

抄録

ST Elevation with Flecainide and Pilsicainide . Flecainide and pilsicainide, Class IC antiarrhythmic drugs with slow kinetics, were administered to a 64‐year‐old man experiencing ventricular tachycardia. Both drugs suppressed the arrhythmia, but caused ST segment elevation in leads II, III, and aVF. No evidence of ischemic heart disease was detected. Withdrawal of the drugs eliminated the ST change. Because these drugs frequently are used to treat tachyarrhythmias in patients who may present with chest pain, this rare ECG manifestation of Class IC drugs should he recognized to avoid misdiagnosis of acute interior myocardial infarction.

収録刊行物

• Journal of Cardiovascular Electrophysiology

  Journal of Cardiovascular Electrophysiology 9 (8), 855-858, 1998-08

  Wiley

キーワード

• Physiology (medical)
• Cardiology and Cardiovascular Medicine

詳細情報

• CRID: 1364233270615842944
• NII論文ID: 30027184183
• DOI: 10.1111/j.1540-8167.1998.tb00125.x
• ISSN: 15408167
• ISSN: 10453873
• Web Site: https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1540-8167.1998.tb00125.x
• Web Site: https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1540-8167.1998.tb00125.x
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  • CiNii Articles