Acquired Brugada Syndrome Presenting as Ventricular Tachycardia Storm

Koruth, Jacob S.; Jagadesh, Sunil; Rovang, Karen; Mooss, Aryan N.; Hee, Tom; Nair, Chandra K.

doi:10.1378/chest.132.4_meetingabstracts.716a

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2009

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“…Hyponatremia has been noticed incidentally in patients with flecainide toxicity who presented with ventricular tachycardia storm and cardiac arrest 9 . In one case, hyponatremia was suggested as a precipitating factor for flecainide toxicity 10 .…”

Section: Discussionmentioning

confidence: 99%

A Case of Flecainide‐Induced Hyponatremia

Ahmed

Sra

Akhtar

et al. 2009

Cardiovasc electrophysiol

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We present a case of flecainide-induced hyponatremia in a 67-year-old woman who was treated for paroxysmal atrial tachycardia. She developed dizziness after starting flecainide and was found to be hyponatremic with a sodium level of 122 mmol/L (decreased from 136 mmol/L). Work-up failed to reveal other causes of hyponatremia. She was not on diuretics, laxatives, or herbal medications. After discontinuation of flecainide, her symptoms and sodium levels improved. Hyponatremia is a previously unrecognized entity as an adverse effect of flecainide. We will discuss the clinical presentation, lab findings, and a possible explanation for this patient's unusual reaction to flecainide.

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Section: Discussionmentioning

confidence: 99%