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Perioperative Management of Flecainide: A Problem-Based Learning Discussion.

Publication ,  Journal Article
Acker, L; Bova Campbell, K; Naglee, C; Taicher, B; Bronshteyn, YS
Published in: A A Pract
April 1, 2021

Flecainide 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.

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Published In

A A Pract

DOI

EISSN

2575-3126

Publication Date

April 1, 2021

Volume

15

Issue

4

Start / End Page

e01443

Location

United States

Related Subject Headings

  • United States
  • Tachycardia, Supraventricular
  • Problem-Based Learning
  • Humans
  • Flecainide
  • Atrial Flutter
  • Anti-Arrhythmia Agents
 

Citation

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Acker, L., Bova Campbell, K., Naglee, C., Taicher, B., & Bronshteyn, Y. S. (2021). Perioperative Management of Flecainide: A Problem-Based Learning Discussion. A A Pract, 15(4), e01443. https://doi.org/10.1213/XAA.0000000000001443
Acker, Leah, Kristen Bova Campbell, Colleen Naglee, Brad Taicher, and Yuriy S. Bronshteyn. “Perioperative Management of Flecainide: A Problem-Based Learning Discussion.A A Pract 15, no. 4 (April 1, 2021): e01443. https://doi.org/10.1213/XAA.0000000000001443.
Acker L, Bova Campbell K, Naglee C, Taicher B, Bronshteyn YS. Perioperative Management of Flecainide: A Problem-Based Learning Discussion. A A Pract. 2021 Apr 1;15(4):e01443.
Acker, Leah, et al. “Perioperative Management of Flecainide: A Problem-Based Learning Discussion.A A Pract, vol. 15, no. 4, Apr. 2021, p. e01443. Pubmed, doi:10.1213/XAA.0000000000001443.
Acker L, Bova Campbell K, Naglee C, Taicher B, Bronshteyn YS. Perioperative Management of Flecainide: A Problem-Based Learning Discussion. A A Pract. 2021 Apr 1;15(4):e01443.

Published In

A A Pract

DOI

EISSN

2575-3126

Publication Date

April 1, 2021

Volume

15

Issue

4

Start / End Page

e01443

Location

United States

Related Subject Headings

  • United States
  • Tachycardia, Supraventricular
  • Problem-Based Learning
  • Humans
  • Flecainide
  • Atrial Flutter
  • Anti-Arrhythmia Agents