ABSTRACT
Flecainide is a medication used to treat supraventricular and ventricular tachyarrhythmias. Cases of overdoses are rare, however, can lead to significant cardiac effects. In previous cases of flecainide toxicity, treatment with sodium bicarbonate, intravenous lipid emulsion and amiodarone have been reported to be effective in preventing cardiovascular collapse and reestablishing baseline rhythm. Here, we present a case of a man in his 40s presented with flecainide overdose with wide-complex tachycardia that was treated with intravenous sodium bicarbonate following failure of amiodarone to normalise QRS interval.
Subject(s)
Anti-Arrhythmia Agents , Drug Overdose , Electrocardiography , Flecainide , Sodium Bicarbonate , Humans , Flecainide/poisoning , Male , Sodium Bicarbonate/therapeutic use , Sodium Bicarbonate/administration & dosage , Drug Overdose/drug therapy , Anti-Arrhythmia Agents/poisoning , Anti-Arrhythmia Agents/administration & dosage , Adult , Infusions, Intravenous , Tachycardia/chemically induced , Tachycardia/drug therapy , Amiodarone/adverse effects , Amiodarone/administration & dosageABSTRACT
Mycobacterium chimaera is a slow-growing nontuberculous mycobacterium. It has been identified as a contaminant during open-heart surgery. It contaminates water in heater-cooler units that then become aerosolized, contaminating the surgical field. We report a 56-year-old male who presented with culture-negative endocarditis six years after his initial open-heart surgery.
