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- Leah Acker, Kristen Bova Campbell, Colleen Naglee, Brad Taicher, and Yuriy S Bronshteyn.
- From the Department of Anesthesiology, Duke University School of Medicine, Duke University Medical Center, Durham, North Carolina.
- A A Pract. 2021 Apr 1; 15 (4): e01443e01443.
AbstractFlecainide is a first-line antiarrhythmic drug used to treat atrial arrhythmias and/or supraventricular tachycardia in those without coronary artery disease or structural heart disease. Even though it is an older antiarrhythmic, flecainide accounted for 1.6 million prescriptions in the United States in 2016, and its utilization is generally increasing. Despite its popularity, flecainide may predispose patients to rapid atrial flutter with resultant hemodynamic compromise, particularly in the physiologically stressful perioperative period. This article reviews the pharmacology of flecainide, describes problematic arrhythmias that may arise specifically during flecainide use, and offers recommendations for perioperative flecainide management.Copyright © 2021 International Anesthesia Research Society.
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