A case of acute ventricular capture threshold rise associated with flecainide acetate.

Abstract:

:Antiarrhythmic agents may increase capture threshold, but this is rarely of clinical significance. Flecainide acetate, a class IC agent, is reported to have a significant effect on the myocardial capture threshold. In this presentation, we report the case of a 72-year-old male, with a previously implanted VVI pacemaker due to sick sinus syndrome, who was treated with flecainide acetate for paroxysmal atrial arrhythmia control. During the fifteenth day of treatment, an abrupt rise in the ventricular capture threshold with ventricular pacing failure was noted. The capture threshold decreased two days after discontinuation of flecainide acetate.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Kang TS,Yoon YW,Park S,Hong BK,Kim D,Kwon HM,Kim HS

doi

10.3349/ymj.2006.47.1.152

keywords:

subject

Has Abstract

pub_date

2006-02-28 00:00:00

pages

152-4

issue

1

eissn

0513-5796

issn

1976-2437

pii

200602152

journal_volume

47

pub_type

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