-transparent.png){kind=logo}
Class IC antiarrhythmic drugs, flecainide and pilsicainide, produce ST segment elevation simulating inferior myocardial ischemia. 1998
The Third Department of Internal Medicine, Saitama Medical Center, Saitama Medical School, Kamoda, Kawagoe, Japan.
Flecainide and pilsicainide, Class IC antiarrhythmic drugs with slow kinetics, were administered to a 64-year-old man experiencing ventricular tachycardia. Both drugs suppressed the arrhythmia, but caused ST segment elevation in leads II, III, and aVF. No evidence of ischemic heart disease was detected. Withdrawal of the drugs eliminated the ST change. Because these drugs frequently are used to treat tachyarrhythmias in patients who may present with chest pain, this rare ECG manifestation of Class IC drugs should be recognized to avoid misdiagnosis of acute inferior myocardial infarction.
Related Publications
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
July 1990,
Harefuah,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
January 2001,
Heart (British Cardiac Society),
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
December 1987,
The Journal of thoracic and cardiovascular surgery,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
February 1991,
Bulletin de l'Academie nationale de medecine,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
May 1994,
Journal of the American College of Cardiology,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
June 1990,
Cardiovascular drugs and therapy,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
February 1999,
Journal of cardiovascular electrophysiology,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
November 1998,
Journal of cardiovascular electrophysiology,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
August 2015,
The New England journal of medicine,
W Nakamura, and
K Segawa, and
H Ito, and
S Tanaka, and
N Yoshimoto
October 2018,
Circulation,
