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Intractable Atrial Flutter Successfully Treated with Flecainide and Propranolol in a Premature Infant
Author(s) -
Min Ju Lee,
Se Hwan Ahn,
Jong Han Kim,
Su Yeong Kim,
JiEun Ban
Publication year - 2017
Publication title -
the ewha medical journal
Language(s) - English
Resource type - Journals
eISSN - 2234-2591
pISSN - 2234-3180
DOI - 10.12771/emj.2017.40.3.140
Subject(s) - flecainide , medicine , amiodarone , atrial flutter , propranolol , cardioversion , cardiology , anesthesia , irritability , atrial fibrillation , menopause
Neonatal atrial flutter (AFL) has a usually benign clinical course in patients with normal structural hearts. However, an AFL can be potentially lethal in cases of recurrent attack and can result in complications, such as congestive heart failure. Moreover, an intractable AFL requires multiple external electrical cardioversions, and it demonstrates a poor response to antiarrhythmic drug therapy [1-3]. Here, we report a case of intractable AFL which was successfully controlled with flecainide and propranolol therapy in a premature infant.

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