5788 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
(propafenone, flecanide ... TorsadesDePointes #Diagnosis
Common Medications Known to Prolong QTc
Antiarrhythmics - Amiodarone, sotalol, flecainide, quinidine, dronedarone, dofetilide
Vasopressors/inotropes - Epinephrine, norepinephrine,
Amiodarone, sotalol, flecainide ... #differential #diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Ciguatera • Flecanide ... #differential #diagnosis
Flecainide Toxicity on ECG

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Flecainide #Toxicity #ECG #EKG #Electrocardiogram #Cardiology #Clinical #Toxicology
Flecainide Toxicity ... officialdrk12 #Flecainide
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity ... BrettSperryMD #Flecainide
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
paroxysmal AF • Flecainide ... Fibrillation #AFib #diagnosis
Antiarrhythmics - Sodium Channel Blockers
Subclasses, Mechanisms, Indications, Side Effects
la - Quinidine, Procainamide
lb - Lidocaine, Mexiletine
Ic -
Mexiletine Ic - Flecainide
Antiarrhythmic Drug Classes 
IA: "Police Department Questions 
IB: Liquored Man 
IC: For Peeing, 
Ill: After Drinking
Mexiletine IC: Flecainide
Intravenous Lipid Emulsion (ILE) Therapy

ILE is a treatment for severe toxicity from local anesthetics. In addition,
antidysrhythmics (flecainide
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
• Class 1c (flecainide