Class IC antiarrhythmic drugs, flecainide and pilsicainide, produce ST segment elevation simulating inferior myocardial ischemia

被引：15

作者：

Nakamura, W ^{[1
]}

Segawa, K ^{[1
]}

Ito, H ^{[1
]}

Tanaka, S ^{[1
]}

Yoshimoto, N ^{[1
]}

机构：

[1] Saitama Med Sch, Saitama Med Ctr, Dept Internal Med 3, Kawagoe, Saitama 3508550, Japan

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 1998年 / 9卷 / 08期

关键词：

Class IC antiarrhythmic drugs; flecainide; pilsicainide; electrocardiogram; ST segment elevation;

D O I：

10.1111/j.1540-8167.1998.tb00125.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 be recognized to avoid misdiagnosis of acute inferior myocardial infarction.

引用

页码：855 / 858

页数：4

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