Flecainide: Current status and perspectives in arrhythmia management

被引：70

作者：

Andrikopoulos, George K. ^{[1
]}

Pastromas, Sokratis ^{[1
]}

Tzeis, Stylianos ^{[1
]}

机构：

[1] Henry Dunant Hosp, Dept Cardiol, Athens 11526, Attica, Greece

来源：

WORLD JOURNAL OF CARDIOLOGY | 2015年 / 7卷 / 02期

关键词：

Flecainide; Class IC antiarrhythmic drugs; Atrial fibrillation; Ventricular tachycardia; Proarrhythmia;

D O I：

10.4330/wjc.v7.i2.76

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Flecainide acetate is a class IC antiarrhythmic agent and its clinical efficacy has been confirmed by the results of several clinical trials. Nowadays, flecainide is recommended as one of the first line therapies for pharmacological conversion as well as maintenance of sinus rhythm in patients with atrial fibrillation and/or supraventricular tachycardias. Based on the Cardiac Arrhythmia Suppression Trial study results, flecainide is not recommended in patients with structural heart disease due to high proarrhythmic risk. Recent data support the role of flecainide in preventing ventricular tachyarrhythmias in patients with catecholaminergic polymorphic ventricular tachycardia associated both with ryanodine receptor and calsequestrin mutations. We herein review the current clinical data related to flecainide use in clinical practice and some concerns about its role in the management of patients with coronary artery disease.

引用

页码：76 / 85

页数：10

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