Open AccessFlecainide toxicity in a preterm neonate with permanent junctional reciprocating tachycardia
Author(s) -
Balaganesh Karmegaraj,
Danish Me,
Mukund A. Prabhu,
Balu Vaidyanathan
Publication year - 2017
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_31_17
Subject(s) - flecainide , medicine , sodium bicarbonate , toxicity , tachycardia , anesthesia , blockade , cardiac toxicity , ventricular tachycardia , reciprocating motion , cardiology , atrial fibrillation , chemistry , mechanical engineering , gas compressor , engineering , receptor
We report a case of flecainide toxicity in a premature neonate with permanent junctional reciprocating tachycardia which was managed successfully by reversal of the sodium blockade with intravenous sodium bicarbonate and supportive care. This report highlights the importance of strict supervision and monitoring while administering antiarrhythmic drugs in neonates and prompt institution of appropriate remedial action for treatment when toxicity is suspected.