It appears you don't have support to open PDFs in this web browser. To view this file, Open with your PDF reader
Abstract
A 9 hour old twin neonate, who was treated with flecainide in utero for fetal supraventricular tachycardia, presented with hypotension and a wide complex tachycardia concerning for flecainide toxicity. The patient was given a bolus of sodium bicarbonate with transient narrowing of her QRS complex. She was then intubated and started on a sodium bicarbonate drip with full resolution of her wide complex tachycardia within 24 hours. Work up showed no evidence for structural cardiac pathology or infection and she did not experience any further arrhythmias after termination of her presenting wide complex tachycardia. The patient was discharged home at 10 days of age and has had no further sequelae. This case report describes a novel presentation of in utero flecainide toxicity and summarizes the therapies available to treat this rare, but potentially lethal, presentation.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Details
1 Department of Emergency Medicine, University of Washington, Seattle, WA, USA
2 Department of Pediatrics, Division of Pediatric Cardiology, Seattle Children's Hospital, University of Washington, Seattle, WA, USA
3 Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA, USA