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氟卡尼致左束支传导阻滞(LBBB)及短暂性心肌病1例罕见病例报告

A Rare Case Report of Flecainide-Induced Left Bundle Branch Block (LBBB) and Transient Cardiomyopathy.

作者信息

Chauhan Sukhjinder, Morris Desiree, Bhatnagar Mina, Shah Pinak, Narula Dhiraj D

机构信息

Internal Medicine, Mountainview Hospital, Las Vegas, USA.

Electrophysiology, Mountainview Hospital, Las Vegas, USA.

出版信息

Cureus. 2023 Apr 5;15(4):e37184. doi: 10.7759/cureus.37184. eCollection 2023 Apr.

Abstract

Flecainide is an antiarrhythmic agent that has been reported to have numerous cardiotoxic effects, including the development of arrhythmias and the reduction of left ventricular ejection fraction (LVEF). However, it is not commonly reported as a cause for left bundle branch block and cardiomyopathy. In this case report, we present the case of a 67-year-old female patient who developed transient cardiomyopathy and left bundle branch block (LBBB) secondary to flecainide therapy. The patient's condition improved upon cessation of flecainide.

摘要

氟卡尼是一种抗心律失常药物,据报道有许多心脏毒性作用,包括心律失常的发生和左心室射血分数(LVEF)降低。然而,它通常不被报道为左束支传导阻滞和心肌病的病因。在本病例报告中,我们介绍了一名67岁女性患者的病例,该患者因氟卡尼治疗继发出现短暂性心肌病和左束支传导阻滞(LBBB)。停用氟卡尼后患者病情改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/10079431/8188ce601508/cureus-0015-00000037184-i01.jpg

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