Abstract:
:Flecainide is a class 1C antiarrhythmic drug especially used for the management of supraventricular arrhythmia. In overdose cases, flecainide can induce life treating ventricular arrhythmias and cardiogenic shock. We report the case of a 72-year-old woman admitted to our intensive care unit for a regular monomorphic wide complex tachycardia (QRS duration 240 ms, right bundle branch block and superior axis morphology) without apparent P waves. Clinical examination showed slight left congestive heart failure signs without cardiogenic shock. An intravenous bolus of 10 mg adenosine 5'-triphosphate (ATP) was ineffective to stop the tachycardia. The diagnosis of ventricular tachycardia induced by flecainide overdose was considered. 500 mL of intravenous 84‰ sodium bicarbonate was administrated. The patient's QRS narrowed immediately and 12-lead ECG showed sinus rhythm. Blood samples confirmed the flecainide overdose and the clinical status progressively improved.
journal_name
Cardiol Jjournal_title
Cardiology journalauthors
Courand PY,Sibellas F,Ranc S,Mullier A,Kirkorian G,Bonnefoy Edoi
10.5603/CJ.2013.0035subject
Has Abstractpub_date
2013-01-01 00:00:00pages
203-5issue
2issn
1897-5593pii
VM/OJS/J/33974journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Previous reports on patients with radiofrequency catheter ablation (RFCA) of accessory pathway (AP) and atrial fibrillation (AF) include only short follow-up periods. The aim of this study was to analyze predictors of recurrence of AF in patients after successful RFCA of APs over long term follow-up periods....
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0055
更新日期:2017-01-01 00:00:00
abstract::Dual antiplatelet therapy is currently recommended for all patients with acute coronary syndromes, independent of whether they receive pharmacological treatment or undergo percutaneous coronary intervention. Antiplatelet agents are the cornerstone of pharmacological treatment in interventional cardiology. However, the...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The presence of psoriasis is currently considered by the European Society of Cardiology cardiovascular prevention guidelines of 2016 as one possible cardiovascular risk factor. Patients with psoriasis and concomitant coronary artery disease treated by means of percutaneous coronary interven-tion (PCI) are a ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0076
更新日期:2020-01-01 00:00:00
abstract::QRS duration and morphology, evaluated via a standard 12-lead electrocardiogram (ECG), represent an opportunity to derive useful prognostic information regarding the risk of subsequent cardiac events or therapeutic outcomes. Prolonged QRS duration, and the presence of intraventricular conduction abnormalities, usually...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
abstract::Diabetic ketoacidosis is a major cause of morbidity and mortality in patients with insulin dependent diabetes. Myocardial infarction is an uncommon but well-recognised precipitating cause of diabetic ketoacidosis, accounting for 1% of cases. Many diabetic patients with ketoacidosis initially present with hyperkelamia,...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract::Patients with complete interruption of the aortic arch (IAA) very rarely reach late adulthood without having undergone surgical intervention. Only a few cases of IAA in adults have been reported in the medical literature. In this case report, we present a late diagnosis of interrupted aortic arch in a 68 year-old male...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/cj.2011.0036
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Coronary sinus (CS) has been shown to be larger in patients with atrioventricular nodal reentrant tachycardia (AVNRT). We sought to determine if echocardiographically measured CS diameter can help identify the mechanism of tachycardia in patients with narrow complex tachycardia without preexcitation before t...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2013.0088
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Reduced heart rate variability (HRV) is associated with a poor outcome in patients with sinus rhythm (SR) or atrial fibrillation (AF). However, cut-off points for HRV measures differ between SR and AF. We hypothesized that a global index of 24-hour HRV based on evaluation of scatterplot would describe HRV ir...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/cj.2011.0010
更新日期:2011-01-01 00:00:00
abstract::Cardiac resynchronization therapy (CRT) is electrical resynchronization of the ventricles. Bachmann's bundle (BB) pacing is considered to be electrical resynchronization of the atria. Atrial fibrillation (AF) and congestive heart failure (HF) often coexist in the same patient. A 69 year-old man who underwent CRT combi...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Subcostal planes allow demonstration of the entire right ventricular cavity and are frequently used in patients with congenital heart disease; however, their clinical utility in the evaluation of systemic right ventricular function after atrial switch procedure for complete transposition has never been verif...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Aspirin remains the mainstay of anti-platelet therapy in cardiac patients. However, if a patient is allergic to aspirin and dual anti-platelet therapy is indicated - such as with percutaneous coronary intervention (PCI), then there is no clear guidance. One possibility is aspirin desensitization. A variety o...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2013.0025
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Device optimization is not routinely performed in patients who underwent cardiac resynchronization therapy (CRT) device implantation. Noninvasive optimization of CRT devices by measurement of cardiac output (CO) can be used as a simple method to assess ventricular systolic performance. The aim of this study ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2013.0100
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Distortion of the terminal portion of the QRS in the initial electrocardiogram (ECG) is a strong predictor of adverse outcome in myocardial infarction. Our purpose is to assess the relationship of distortion of QRS and other ECG characteristics with older age. METHODS AND RESULTS:We analysed 634 consecutive...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Conduction disturbances requiring permanent pacemaker implantation following transcatheter aortic valve replacement (TAVR) are a common problem. Pacemaker implantation rates after TAVR appear to be higher compared to conventional aortic valve replacement. The aim of this study was to analyze whether a high a...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0024
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Anthracycline-induced cardiotoxicity remains a significant and unresolved issue in patients receiving chemotherapy. The aim of this study was to evaluate left ventricular (LV) twisting function by three-dimensional speckle tracking echocardiography (3D-STE) in patients with lymphoma after anthracycline thera...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0035
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:This paper describes the clinical outcomes from a novel direct access arrhythmia monitoring service. METHODS:The study was carried out in the north of Scotland. Data was collected over a 29 month period between 18 June 2008 and 8 November 2010 from consecutive cases from two groups of patients, general prac...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/cj.2012.0010
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The Amplatzer Amulet (St. Jude Medical, Minneapolis, MN, USA) is a second gen-eration Amplatzer device for left atrial appendage (LAA) occlusion (LAAO) for stroke prophylaxis in patients with atrial fibrillation. This research sought to assess the clinical performance of the Amplatzer Amulet device and in fo...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0017
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The relationship between right ventricle (RV), extracellular matrix (ECM) fibrosis and fibrosis-linked, circulating microRNAs in dilated cardiomyopathy (DCM) is unknown. AIM:The aim of the study was to uncover the associations between serum markers of ECM metabolism and circulating microRNAs with RV morphol...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0099
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Patients with supraventricular tachycardia (SVT) and patients with coronary artery disease (CAD) often present with similar symptoms (chest pain, shortness of breath), similar electrocar¬diographic changes and elevated high-sensitivity troponin (Tn). It is not clear whether troponin reflects critical CAD or ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2017.0058
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Multi-slice computed tomography (MSCT) can be used to visualize the anatomy of the coronary venous system (CVS). A pre-procedural evaluation of target veins is a very important element of cardiac resynchronization. Thus, the quality of visualization of the CVS is of great importance. The aim of this study wa...
journal_title:Cardiology journal
pub_type: 临床试验,杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Beta-catenin has been implicated in cell-cell communication in a wide variety of developmental and physiological processes. Defective Wnt signaling could result in various cardiac and vascular abnormalities. Little is known regarding Wnt/frizzled pathway in cardiomyocyte apoptosis. METHODS:In this study, th...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2016.0087
更新日期:2017-01-01 00:00:00
abstract::This anesthetic drug may cause a rare condition named propofol infusion syndrome, characterized by unexplained lactic acidosis, lipemia, rhabdomyolysis, cardiovascular collapse and Brugada-like electrocardiographic pattern or Brugada electrocardiographic phenocopy changes following high-dose propofol infusion over pro...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2010-01-01 00:00:00
abstract::n/a - brief communication. ...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.2019.0099
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The present study of patients with Wenckebach-type second-degree sinoatrial block (W-block) evaluated the probability of the development of a more advanced grade of sinoatrial block. Data on the clinical significance of W--block are limited. It is unknown whether W-block predicts a more advanced grade of sin...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract::Heart failure (HF) is a manifestation of aberrant vascular responses and remains a public health concern with a worldwide prevalence of around 23 million and a 5-year mortality numerically equivalent to many cancers. Over the last two decades, mortality from HF reached a plateau with current pharmaceutical agents and ...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:10.5603/CJ.a2016.0063
更新日期:2016-01-01 00:00:00
abstract::Present day 24-h Holter monitors have been shown to miss many arrhythmias that may occur infrequently or under specific circumstances. The advancement in electronic and adhesive technologies have enabled the development of first generation wearable long-term 14-day patch ECG monitors that attach directly to the skin a...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:10.5603/cj.2012.0039
更新日期:2012-01-01 00:00:00
abstract::At present there is consent that patients with acute pulmonary embolism (APE) and hemodynamic instability have poor prognosis and benefit from thrombolytic therapy or embolectomy, whereas hemodynamically stable patients without echocardiographic signs of right ventricular overload/dysfunction (RVO) have good prognosis...
journal_title:Cardiology journal
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Late gadolinium enhancement (LGE) by cardiac magnetic resonance (CMR) may reveal myocardial fibrosis which is associated with adverse clinical outcomes in patients undergoing implantable cardioverter-defibrillator (ICD) placement. At the same time, transmural LGE in the posterolateral wall is related to nonr...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2020.0009
更新日期:2020-02-10 00:00:00
abstract:BACKGROUND:Lymphopenia is associated with adverse prognosis in chronic disease states that are related to immune dysregulation. We aimed to determine the association between lymphopenia and mortality in patients presenting to coronary angiography and investigate whether elevated red blood cell distribution width (RDW),...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2020.0141
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:Recent clinical studies have shown that treatment with LCZ696, a complex containing the angiotensin receptor blocker valsartan and neprilysin inhibitor sacubitril, improves the prognosis of heart failure patients with a reduced ejection fraction. This study evaluated whether LCZ696 affects left ventricular h...
journal_title:Cardiology journal
pub_type: 杂志文章
doi:10.5603/CJ.a2018.0048
更新日期:2019-01-01 00:00:00